MRS. Clarice M Ezeanya, DPT

NPI #1013253780 in Suwanee, Georgia

Provider Information

NPI Number: 1013253780
Entity Type: Individual
Name: MRS. Clarice M Ezeanya, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 27, 2012
Last Updated: Nov 24, 2021

Practice Location

Address: 302 SATELLITE BLVD NE STE 111
City: Suwanee
State: Georgia
ZIP Code: 30024-7182
Phone: (862) 202-6596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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