Individual
CORRIE KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 TOZER RD, BEVERLY, MA 01915-5515
(978) 969-2894
Mailing address
10P GILL ST, WOBURN, MA 01801-1721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12312
MA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
MA
Enumeration date
05/29/2017
Last updated
03/25/2019
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