Individual
MS. MARYANN G ROZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPT
Contact information
Practice address
3422 BARKLEY DR, FAIRFAX, VA 22031-2724
(703) 280-1171
Mailing address
3422 BARKLEY DR, FAIRFAX, VA 22031-2724
(703) 280-1171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305000862
VA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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