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NPI Code Detail

MEDICARE: ERIC STEVEN KOSCO PT, DPT

MEDICARE: ERIC STEVEN KOSCO PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP17298NC

General Provider Information

NPI Number : 1831613983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC STEVEN KOSCO PT, DPT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 866-370-8206
Fax Number : 517-435-3670
Provider Business Practice Location Address
First Line : 1950 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3250
Country : US
Telephone Number : 702-735-1501
Fax Number : 702-735-1875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 07/21/2022

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Directions to “ ERIC STEVEN KOSCO PT, DPT” Practice Location

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