Individual
MR. KENNETH KOTLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5884
Mailing address
30 7TH ST, PLEASANT GROVE, PLEASANT GROVE, AL 35127-1962
(205) 744-8226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0094
AL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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