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NPI Code Detail

MEDICARE: KARA KOSCO DPT

MEDICARE: KARA KOSCO 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 TherapistP16531NC

General Provider Information

NPI Number : 1841743572
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA KOSCO DPT
Provider Business Mailing Address
First Line : 740 W FIRE TOWER RD
Second Line : STE 113
City : WINTERVILLE
State : NC
Zip : 28590-8411
Country : US
Telephone Number : 252-329-8800
Fax Number : 252-329-8866
Provider Business Practice Location Address
First Line : 4000 S EASTERN AVE STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0826
Country : US
Telephone Number : 702-734-2732
Fax Number : 702-737-1453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2016
Last Update Date : 09/07/2021

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Directions to “ KARA KOSCO DPT” Practice Location

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