Individual
MRS. ANNA ELIZABETH MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3350 SILAS CREEK PARKWAY, SILAS CREEK MANOR, WINSTON SALEM, NC 27104
(914) 441-0609
Mailing address
1786 RAMHURST DR, CLEMMONS, NC 27012-9579
(336) 766-7044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012363-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11282
NC PT BOARD
NC
Enumeration date
03/07/2007
Last updated
09/21/2011
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