Victor Kozlow

NPI 1043556806 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1043556806
Gender Male
Enumeration Date 12/26/2012
Last Updated 12/26/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
8336 FAIR OAKS BLVD
CARMICHAEL CA, 95608-1906, US
Phone (916) 944-3100
Fax
Business Location
5656 VERNER OAK CT UNIT 35
SACRAMENTO CA, 95841-2066, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State California
License Number OTA513
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According to our database, Victor Kozlow NPI is 1043556806, taxonomy code is 224Z00000X and license number is OTA513, license state is located at California. Victor Kozlow physically located at 8336 Fair Oaks Blvd, Carmichael CA, 95608-1906. NPI Number Victor Kozlow has the Individual type.

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1043556806 NPI number is provided on an as is basis without warranty of any kind. 1043556806 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Kozlow are for informational purposes only.