Individual
CHISOM CHRISTINE EZEANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 MARLBORO PIKE, DISTRICT HEIGHTS, MD 20747-4306
(301) 238-4723
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09980
MD
Other
Enumeration date
07/12/2023
Last updated
08/04/2023
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