Judith Ann Koskodan, PT | |
122 S Main St, Almont, MI 48003-1066 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Judith Ann Koskodan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 122 S Main St, Almont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255576559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501007048 (Michigan) | Primary |
235Z00000X | Speech-language Pathologist | 5501007048 (Michigan) | Secondary |
Provider Name | Dpt Holdings Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20160930000485 |
Mailing Address | Practice Location Address |
---|---|
Judith Ann Koskodan, PT 5314 Bishop Rd, Dryden, MI 48428-9335 Ph: (810) 796-3796 | Judith Ann Koskodan, PT 122 S Main St, Almont, MI 48003-1066 Ph: (800) 974-4378 |
Lauren N Drwencke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 S Main St, Almont, MI 48003 Phone: 800-974-4378 Fax: 630-515-1536 | |
Olivia Kayann Hoover, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 S Main St, Almont, MI 48003 Phone: 800-974-4378 Fax: 630-515-1536 | |
Mrs. Jennifer Marie Carrico, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 S Main St, Almont, MI 48003 Phone: 800-974-4378 Fax: 630-515-1536 | |
Mr. Gerald Joseph Kozak Iii, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 S Main St, Almont, MI 48003 Phone: 800-974-4378 Fax: 630-515-1536 |