NPI 1043563422

Maryann G Rozzell, MALPT

Practitioner Specialist Fairfax, VA

Practice location

Address: 3422 Barkley Dr, Fairfax, VA 22031-2724
Phone: (703) 280-1171

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2305000862 (VA)

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Registry record

NPI: 1043563422
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2012
Record last updated: 22 Oct 2012

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.