Individual
PAULINA KOZUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5151 E BROADWAY RD STE 102, MESA, AZ 85206-1346
(480) 396-9922
Mailing address
5151 E BROADWAY RD STE 102, MESA, AZ 85206-1346
(480) 396-9922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30817
AZ
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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