Individual
JOSEPH KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
513 NW FIR AVE, REDMOND, OR 97756-1550
(541) 923-0410
(541) 923-7393
Mailing address
513 NW FIR AVE, REDMOND, OR 97756-1550
(541) 923-0410
(541) 923-7393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4432
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00240308
RR MEDI
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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