| NPI | 1144228065 |
|---|---|
| Former Name | MELANIE A KOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-003888) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3888) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2021-02-04 |