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Individual

SAMANTHA JO KOZLOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1000 SCHUYLKILL MANOR RD, POTTSVILLE, PA 17901-3862
(570) 624-3228
Mailing address
55 W SAVORY ST, POTTSVILLE, PA 17901-3945
(570) 622-7598

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008363
PA

Other

Enumeration date
11/15/2011
Last updated
02/05/2015
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