Individual
SHELLEY V KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT PCS
Contact information
Practice address
15316 HUEBNER RD #202, SAN ANTONIO, TX 78248
(210) 614-4567
(210) 614-4999
Mailing address
115 NORTHRIDGE, SAN ANTONIO, TX 78209
(210) 326-0734
(210) 832-0734
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1038222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4329
BCBS
TX
01
—
8T4874
BCBS
TX
Enumeration date
11/07/2006
Last updated
07/08/2007
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