Individual
MRS. AZAM NIKHAH ZIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6929 MATTHEW PL, SPRINGFIELD, VA 22151-3607
(703) 813-1800
Mailing address
4140 VIRGINIA ST, FAIRFAX, VA 22032-1049
(703) 277-9599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000861
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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