Individual
COURTNEY B KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 CROWN POINT CT, JACKSONVILLE, FL 32257-5967
(904) 288-8910
Mailing address
11090 LOSCO JUNCTION DR, JACKSONVILLE, FL 32257-3694
(904) 710-9865
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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