| Doctor Name: | MICHELLE COZAD |
| NPI Number: | 1497113104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT017979 |
| Business Practice Address: | 1293 Grandview Rd Oil City, PA - 163011283 |
| Business Phone Number: | 8146768208 |
| Business Fax Number: | 8146774877 |
| Mailing Address: | 1293 Grandview Rd, OIL CITY |
| State: | PA |
| Postal Code: | 163011283 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2016 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | PT017979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |