Individual
MRS. HOLLY ATWOOD KOZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
Mailing address
781 HACKBERRY DR, BOSSIER CITY, LA 71111-5177
(318) 747-4504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12037
LA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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