Individual
ADAM MICHAEL KSANZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5900 E VIRGINIA BEACH BLVD STE 21, NORFOLK, VA 23502-2499
(757) 995-1903
Mailing address
PO BOX 744113, ATLANTA, GA 30384-4113
(703) 239-2300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213848
VA
Other
Enumeration date
10/05/2020
Last updated
05/20/2021
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