Organization
ASOUFY THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WIDAD ASOUFY OTRL (OWNER/AUTHORIZED OFFICIAL)
(734) 239-5791
Entity
Organization
Contact information
Practice address
916 SAINT ANDREWS REACH APT A, CHESAPEAKE, VA 23320-8587
(734) 239-5791
Mailing address
916 SAINT ANDREWS REACH APT A, CHESAPEAKE, VA 23320-8587
(734) 239-5791
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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