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1295332005
ADAM MICHAEL KSANZNAK
NORFOLK, VA
NPI
1295332005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213848)
Enumeration Date
2020-10-05
Last Update Date
2021-05-20
Business Address
ADAM MICHAEL KSANZNAK DPT
5900 E VIRGINIA BEACH BLVD STE 21
NORFOLK, VA 23502-2499
Phone number: 757-995-1903
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Mailing Address
ADAM MICHAEL KSANZNAK DPT
PO BOX 744113
ATLANTA, GA 30384-4113
Phone number: 703-239-2300
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