Individual
MR. DENNIS KEITH KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
138 CHESTNUT VALLEY DRIVE, DOYLESTOWN, PA 18901-2219
(215) 230-1722
Mailing address
138 CHESTNUT VALLEY DRIVE, DOYLESTOWN, PA 18901-2219
(215) 230-1722
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT000918E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000199993
HIGHMARK BLUE SHIELD ID
PA
01
—
0033451000
10 DIGIT HMO ID
PA
Enumeration date
05/02/2007
Last updated
07/08/2007
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