Individual
EUGENIA E KOULIZAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
133 MAPLE AVE E, SUITE 309, VIENNA, VA 22180
(703) 281-0288
(703) 281-7089
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118
(540) 687-8181
(540) 687-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-012930
IL
225100000X
Physical Therapist
Primary
2305203703
VA
Other
Enumeration date
06/23/2006
Last updated
02/10/2009
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