Most Relevant Information
Provider Data
| NPI Number: | 1003023623 |
| Provider Name: | KATHLEEN ANN KOSOWSKY B.S., P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA18753 |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1210 S OLD DIXIE HWY
JUPITER
FL
334587205
Practice Location Phone/Fax
| Phone: | 5617472234 |
| Fax: | 5617455747 |
Provider Mailing Location
19085 SE SOUTHGATE DR
TEQUESTA
FL
334691677
Provider Mailing Phone/Fax
| Phone: | 5615759287 |
| Fax: |