Organization
LYMPHEDEMA PHYSIOTHERAPY
Active
Other names
Neptune Engineering Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIA RAZZAQ D.SC., LLCC, CMT (PRESIDENT)
(757) 615-2124
Entity
Organization
Contact information
Practice address
4301 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-1250
(757) 615-2124
Mailing address
4128 CHESWICK LN, VIRGINIA BEACH, VA 23455-6559
(757) 615-2124
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0019 005511
VA
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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