NPI 1023612363

Chike C Ezejiofor

Practitioner Physical Therapy Assistant Lanham, MD

Practice location

Address: 10106 Dorsey Ln, Lanham, MD 20706-2567
Phone: (240) 825-8933

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 012287 (NY)

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Registry record

NPI: 1023612363
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Nov 2020
Record last updated: 27 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.