Individual provider · Type 1 NPI
Shannon Koziel, PTA
Physical Therapy Assistant · Mangonia Park, FL
Practice location
901 45th St
Mangonia Park, FL 33407-2413
Mailing address
16063 Rain Lilly Way
Westlake, FL 33470-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 26765 (FL) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1821659111
Shannon Koziel, PTA's National Provider Identifier is 1821659111, issued on Jun 26, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mangonia Park, FL. The record was last updated on Jun 26, 2019.