Doctor Name: | SUSAN WARD KOSKO |
NPI Number: | 1477921906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTH7184 |
Business Practice Address: | 207 W Jackson St Ridgeland, MS - 391572355 |
Business Phone Number: | 6013620859 |
Business Fax Number: | |
Mailing Address: | 246 Lake Cir, MADISON |
State: | MS |
Postal Code: | 391106303 |
Phone Number: | 8653005149 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH7184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |