Koziol, Corrie

Koziol, Corrie is an individual health care provider with primary practice located at 55 Tozer Rd , Beverly MA 01915-5515. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Koziol, Corrie can be contacted via phone (978) 969-2894.

Contact Information

Primary practice address
55 Tozer Rd Beverly MA 01915-5515
Phone: (978) 969-2894
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 12312 Massachusetts

Profile Details

NPI number 1710415260
LBN Legal business name Koziol, Corrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2017
Last updated Mar 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710415260 NPPES
Massachusetts MEDICAID 00000000

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