Individual
ALYSSA KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13439 E 14 MILE RD, STERLING HEIGHTS, MI 48312-6304
(586) 685-0505
(586) 685-0501
Mailing address
25775 W 10 MILE RD STE C, SOUTHFIELD, MI 48033-4856
(248) 809-9941
(248) 809-2480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005636
MI
225700000X
Massage Therapist
7501000205
MI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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