Provider Demographics
NPI:1134478282
Name:COZZOLINO, KARI LYNN (MSPT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:COZZOLINO
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 GREEN VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-8518
Mailing Address - Country:US
Mailing Address - Phone:443-926-2027
Mailing Address - Fax:
Practice Address - Street 1:7566 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7391
Practice Address - Country:US
Practice Address - Phone:443-926-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23888225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist