Individual
DR. CARRIE ELIZABETH KOZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
310 PAPER TRAIL WAY, CANTON, GA 30115-5203
(770) 345-2804
Mailing address
115 BROCKDALE PASS, CANTON, GA 30115-5208
(770) 361-2457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009983
GA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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