Individual
KELLEY PHILLIPS KOZLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2847
Mailing address
82 LOWELL ST, APARTMENT 1, SOMERVILLE, MA 02143-2417
(248) 506-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AH8943-OT
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH 8943-OT
OCCUPATIONAL THERAPY LICE
MA
Enumeration date
01/02/2007
Last updated
07/08/2007
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