Individual
DEBRA KOZSDIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4512
Mailing address
1525 E MAIN, STREATOR, IL 61364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000967
IL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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