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Individual

STEPHANIE MAE KARAVATAS BRIZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
8525 ROLLING RD STE 320, MANASSAS, VA 20110-3673
(703) 361-0465
(571) 535-4363
Mailing address
7406 ERSKA WOODS CT, SPRINGFIELD, VA 22153-2002
(703) 232-4211

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603124
VA

Other

Enumeration date
04/26/2021
Last updated
04/26/2021
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