SHANNON KOSMATKA

WOODSTOCK, IL
NPI1497212914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006377)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
SHANNON KOSMATKA PTA
2406 HARTLAND RD
WOODSTOCK, IL 60098-9763
Phone number: 815-338-0412
Mailing Address
SHANNON KOSMATKA PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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