Individual
GAIL B KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Contact information
Practice address
5 MORGAN HWY, SUITE #4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 614-0212
Mailing address
5 MORGAN HWY, SUITE #4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 614-0212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN258952L
PA
225700000X
Massage Therapist
Primary
MSG000066
PA
Other
Enumeration date
04/20/2006
Last updated
03/21/2011
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