Individual
STACY KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
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
225X00000X
Occupational Therapist
008987
NY
225XP0200X
Pediatric Occupational Therapist
Primary
6145
NC
Other
Enumeration date
01/30/2007
Last updated
01/23/2020
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