Individual
CHIKE C EZEJIOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10106 DORSEY LN, LANHAM, MD 20706-2567
(240) 825-8933
Mailing address
10106 DORSEY LN, LANHAM, MD 20706-2567
(240) 825-8933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012287
NY
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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