AZANA J EZEKIEL

LORTON, VA
NPI1265111850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7924)
Enumeration Date2023-07-12
Last Update Date2023-09-24
Business Address
AZANA J EZEKIEL PTA
9455 LORTON MARKET ST STE 201
LORTON, VA 22079-1965
Phone number: 703-647-3120
Mailing Address
AZANA J EZEKIEL PTA
135 N PARK PL STE 210
STOCKBRIDGE, GA 30281-7209
Phone number: 770-627-0869
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