Kori Kogan, PTA
NPI #1215218813 in Tierra Verde, Florida
Provider Information
- NPI Number
- 1215218813
- Entity Type
- Individual
- Name
- Kori Kogan, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- PTA
- Enumeration Date
- Sep 9, 2011
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 626 7TH AVE N
- City
- Tierra Verde
- State
- Florida
- ZIP Code
- 33715-2003
- Phone
- (410) 868-1624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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