Individual
MRS. JEFFRIE KOZUSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., I.T.D.S.
Contact information
Practice address
9625 61ST WAY, PINELLAS PARK, FL 33782-3134
(727) 804-9683
Mailing address
9625 61ST WAY, PINELLAS PARK, FL 33782-3134
(727) 804-9683
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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