JEREMY TRAVIS KOZEN

CHARLESTON, WV
NPI1689398075
Other NameJ TRAVIS KOZEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA000975)
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
JEREMY TRAVIS KOZEN PTA
400 TRACY WAY STE 100
CHARLESTON, WV 25311-1280
Phone number: 304-720-0205
Mailing Address
JEREMY TRAVIS KOZEN PTA
407 MCKINLEY AVE
CHARLESTON, WV 25314-1038
Phone number: 304-543-1196
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