Kristin Koziak
Physical Therapist in White Plains, NY. Individual provider (NPI-1).
NPI number1275170367
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1275170367
- Entity type
- Individual (NPI-1)
- Name
- Kristin Koziak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 032721-1 | NY | Yes |
Practice location
785 Mamaroneck AveWhite Plains, NY 10605-2523
Phone 914-597-3862
Mailing address
139 Willis AveHawthorne, NY 10532-2510
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