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1174058465
CARLY KOSS
ORLANDO, FL
NPI
1174058465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MA 9299)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- CARLY KOSS
3452 LAKE LYNDA DR STE 200
ORLANDO, FL 32817-1481
Phone number: 440-774-7785
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Mailing Address
-- CARLY KOSS
2039 CANTERBURY RD
WESTLAKE, OH 44145-3227
Phone number: 440-655-5143
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