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Individual

MISS MAILA HIZOLA CELINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4132 FAIRLAKE LN APT A, GLEN ALLEN, VA 23060-2709
(407) 620-0933
Mailing address
4132 FAIRLAKE LN APT A, GLEN ALLEN, VA 23060-2709
(407) 620-0933

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207802
VA
225100000X
Physical Therapist
J1-0002781
DE

Other

Enumeration date
07/09/2012
Last updated
02/12/2013
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