Individual
VICTOR KOZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8336 FAIR OAKS BLVD, CARMICHAEL, CA 95608-1906
(916) 944-3100
Mailing address
5656 VERNER OAK CT UNIT 35, SACRAMENTO, CA 95841-2066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA513
CA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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