Individual
STEPHEN E EZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(804) 798-3291
Mailing address
1603 LEAFCREST LN, NORTH CHESTERFIELD, VA 23235-4595
(256) 797-3669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007177
VA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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