National Provider Identifier

Diane Marie Kozar, RPT

Diane Marie Kozar, RPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 223-7024.

NPI 1710199104Fairport, NYPhysical Therapist

Profile Overview

NPI
1710199104
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 06, 2007
Last Updated
July 09, 2007

Practice Location

  • 116 Nettlecreek RD
  • Fairport, NY 14450-3056

Phone: (585) 223-7024

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1710199104
Entity Type
Individual
Last Name
Kozar
First Name
Diane
Middle Name
Marie
Credential
RPT
Mailing Street Address
116 Nettlecreek RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3056
Mailing Country
US
Mailing Phone
(585) 223-7024
Mailing Fax
(585) 223-9579
Practice Street Address
116 Nettlecreek RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3056
Practice Country
US
Practice Phone
(585) 223-7024
Practice Fax
(585) 223-9579
Enumeration Date
May 06, 2007
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)
Other Identifiers
02809007 (NY)