Individual
DANE MICHAEL KOZLEVCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
72 GLENMAURA NATIONAL BLVD, SUITE 102, MOOSIC, PA 18507-2134
(570) 344-4405
(570) 344-4468
Mailing address
1101 E 3RD ST, WILLIAMSPORT, PA 17701-5411
(570) 322-5500
(570) 322-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020873
PA
Other
Enumeration date
06/13/2011
Last updated
06/23/2011
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