Individual
MARK KOZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2900 BRISTOL ST, BUILDING G 102, COSTA MESA, CA 92626-5981
(949) 467-9656
Mailing address
2900 BRISTOL ST, BUILDING G 102, COSTA MESA, CA 92626-5981
(949) 467-9656
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
28190
CA
Other
Enumeration date
12/06/2009
Last updated
12/18/2012
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