Individual
MR. LOUIS A. MAZAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
44 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-7090
(804) 784-7092
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205370
VA
Other
Enumeration date
07/18/2006
Last updated
04/26/2018
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