Individual
MR. GERALD JOSEPH KOZAK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
122 S MAIN ST, ALMONT, MI 48003-1066
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012904
MI
2251X0800X
Orthopedic Physical Therapist
L951582
MI
Other
Enumeration date
01/30/2007
Last updated
10/24/2023
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