SUSAN WARD KOSKO

RIDGELAND, MS
NPI1477921906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: AL  PTH7184)
Additional Taxonomies225100000X Physical Therapist
(Licence: AL  pth7184)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- SUSAN WARD KOSKO DPT
207 W JACKSON ST
RIDGELAND, MS 39157-2355
Phone number: 601-362-0859
Mailing Address
-- SUSAN WARD KOSKO DPT
246 LAKE CIR
MADISON, MS 39110-6303
Phone number: 865-300-5149