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1821644089
KEVIN COSOLA
TUCKER, GA
NPI
1821644089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014199)
Enumeration Date
2019-08-14
Last Update Date
2024-03-12
Business Address
KEVIN COSOLA DPT
1370 MONTREAL RD STE 100
TUCKER, GA 30084-8128
Phone number: 470-719-4300
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Mailing Address
KEVIN COSOLA DPT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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