Individual
JOHN PATRICK JEZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY, GAINESVILLE, VA 20155-3196
(571) 755-6040
Mailing address
12041 CREEKBEND DR, RESTON, VA 20194-5629
(240) 447-3114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216555
VA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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