MEDICARE: JONELLE JOZWIAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1168249	TX

General Provider Information

NPI Number	:	1235318072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONELLE JOZWIAK

Provider Business Mailing Address
First Line	:	5514 ATASCOCITA RD STE 160
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2968
Country	:	US
Telephone Number	:	281-441-5371
Fax Number	:

Provider Business Practice Location Address
First Line	:	5514 ATASCOCITA RD STE 160
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2968
Country	:	US
Telephone Number	:	281-441-5371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	09/21/2015

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Directions to “ JONELLE JOZWIAK ” Practice Location

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