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Individual

DAVID KOZICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
395 ROUTE 940 EAST, BLAKESLEE, PA 18610
(570) 643-3706
(570) 643-3652
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012941L
PA

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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