Individual
CHERISSE A KOZLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
59 EDEN AVE, SOUTHINGTON, CT 06489-4512
(203) 592-2160
(860) 426-1414
Mailing address
59 EDEN AVE, SOUTHINGTON, CT 06489-4512
(203) 592-2160
(860) 426-1414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000971
CT
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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