| NPI | 1366644304 |
|---|---|
| Former Name | JILL D. KOSHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ QA01313600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014760) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-11-08 |