Individual
POLINA V KOZLOWSKI-SANNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
975 BALTIMORE PIKE, GLEN MILLS, PA 19342-1016
(484) 317-4377
Mailing address
3 ASHLEY CT, GLEN MILLS, PA 19342-2005
(484) 317-4377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN639988
PA
163WM1400X
Nurse Massage Therapist (NMT)
RN639988
PA
225700000X
Massage Therapist
Primary
MSG003861
PA
363LF0000X
Family Nurse Practitioner
SP020320
PA
Other
Enumeration date
01/13/2016
Last updated
03/16/2026
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