Individual
MRS. JILL RENEE KOZHEVNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12 MIDDLE ST, AMHERST, NH 03031-2950
(617) 319-7175
Mailing address
12 MIDDLE ST, AMHERST, NH 03031-2950
(617) 319-7175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7779
MA
225700000X
Massage Therapist
Primary
8046
NH
Other
Enumeration date
04/22/2008
Last updated
02/14/2024
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