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Individual

ALEXANDRA MARIA SCOZZAFAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7964
Mailing address
5414 HADDON CT, MANHATTAN, KS 66503-8881
(808) 393-7914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1307513
TX

Other

Enumeration date
11/20/2018
Last updated
11/20/2018
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