Individual
CHINONSO MODOZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14501 BALTIMORE AVE, LAUREL, MD 20707-4901
(301) 799-9466
(301) 799-9467
Mailing address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
215806
MD
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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