NPI 1073066734

Mary Kosenkranius, ATC

Practitioner Athletic Trainer Bear, DE

Practice location

Address: 100 Becks Woods Dr, Bear, DE 19701-3835
Phone: (302) 392-3400
Fax: (302) 392-3401
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence J3-000331 (DE)

Other Specialist/Technologist providers in Delaware →

Registry record

NPI: 1073066734
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2016
Record last updated: 29 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.