Individual
JACQUELINE KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 STATE HIGHWAY 195, GEORGETOWN, TX 78633-4670
(512) 256-7627
Mailing address
3610 WILLIAMS DR, GEORGETOWN, TX 78628-2420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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