Individual
DAVID S MIZENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8705 STONEWALL RD, MANASSAS, VA 20110-4534
(703) 368-7343
(703) 368-0719
Mailing address
4948 BANBURY DRIVE, GAINESVILLE, VA 20155
(703) 754-9796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305000733
VA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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