Individual
KEZIA MARCELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5474 SAINT BARNABAS RD UNIT S, OXON HILL, MD 20745-3622
(301) 505-0555
Mailing address
4905 ZIRCON DR APT 204, ALEXANDRIA, VA 22312-4944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29201
MD
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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