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Individual
MS. KRISTEN AMY OZOG
Active
Individual
MS. KRISTEN AMY OZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028440-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052091
—
NY
01
—
1710923222
NPI GRP
NY
01
—
AA0171
MCR GROUP
NY
01
—
AA0172
MCR GRP
NY
Enumeration date
05/08/2007
Last updated
10/21/2010
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