Individual
EMIL EL-AYAZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7350 WICHITA CT, APT. 23, MANASSAS, VA 20109-6462
(229) 356-8685
Mailing address
7350 WICHITA CT, APT. 23, MANASSAS, VA 20109-6462
(229) 356-8685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001128
VA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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