LAURA BETH KOSS

MILWAUKEE, WI
NPI1932250826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  757-039)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- LAURA BETH KOSS LAT
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-7776
Mailing Address
-- LAURA BETH KOSS LAT
10144 W VIENNA AVE
WAUWATOSA, WI 53222-2353
Phone number: 414-219-7776