Individual
CAMERON A MAUZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
227 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 323-7874
(804) 323-7879
Mailing address
13342 TIPPLE POINT RD, MIDLOTHIAN, VA 23114-5554
(804) 366-4485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204232
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568698793
—
VA
01
—
225579
BCBS (PHYSICAL THERAPY)
VA
01
—
9819342
AETNA
VA
01
—
P00726346
RAILROAD MEDICARE
VA
Enumeration date
06/02/2009
Last updated
04/06/2019
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