Shannon Koziel, PTA

NPI #1821659111 in Mangonia Park, Florida

Provider Information

NPI Number: 1821659111
Entity Type: Individual
Name: Shannon Koziel, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 901 45TH ST
City: Mangonia Park
State: Florida
ZIP Code: 33407-2413
Phone: (561) 844-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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