Individual
JEREMY MOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 PORT NEAL RD, SERGEANT BLUFF, IA 51054-8098
(712) 943-3837
Mailing address
206 PORT NEAL RD, SERGEANT BLUFF, IA 51054-8098
(712) 943-3837
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001415
IA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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