Organization
ABIL-OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RENEE KOZLOWSKI OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(919) 368-9375
Entity
Organization
Contact information
Practice address
39 WOOD STORK CT, CLAYTON, NC 27520-4178
(919) 368-9375
Mailing address
39 WOOD STORK CT, CLAYTON, NC 27520-4178
(919) 368-9375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/28/2019
Last updated
12/20/2023
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