Individual
MISS TIFFANY LEIGH COZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
163 EAST UNION ROAD, RUSSELTON, PA 15076
(412) 779-8887
Mailing address
163 EAST UNION ROAD, PO BOX 40, RUSSELTON, PA 15076
(412) 779-8887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003355
PA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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