Individual
MAHNAZ ABOUFAZELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
109 CROFTON PL, PALMYRA, VA 22963-3300
(434) 589-9588
(434) 589-4096
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215296
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/14/2022
Last updated
08/23/2022
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