Individual
GRACE MARGARET COZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 837-5560
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
363A00000X
Physician Assistant
Primary
6004
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2019
Last updated
03/22/2024
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