Individual
STEVEN BRIAN ZICKAFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
504 E RIDGEVILLE BLVD STE 107, MOUNT AIRY, MD 21771-5942
(301) 829-6811
Mailing address
1584 ELMWOOD CT, FREDERICK, MD 21702-3729
(240) 385-2641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5296
MD
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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