Provider Demographics
NPI:1851436091
Name:KOSKINEN, APRIL DANIELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DANIELLE
Last Name:KOSKINEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:DANIELLE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2160 SANDY DR STE A
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2282
Mailing Address - Country:US
Mailing Address - Phone:814-861-8122
Mailing Address - Fax:814-861-8122
Practice Address - Street 1:2160 SANDY DR STE A
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2282
Practice Address - Country:US
Practice Address - Phone:814-861-8122
Practice Address - Fax:814-861-8122
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.014633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL$$$$$$$$$001Medicaid
ILK50020Medicare PIN