Adam Michael Ksanznak, DPT
Physical Therapist in Norfolk, VA. Individual provider (NPI-1).
NPI number1295332005
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1295332005
- Entity type
- Individual (NPI-1)
- Name
- Adam Michael Ksanznak
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2020
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305213848 | VA | Yes |
Practice location
5900 E Virginia Beach Blvd Ste 21Norfolk, VA 23502-2499
Phone 757-995-1903
Mailing address
Po Box 744113Atlanta, GA 30384-4113
Phone 703-239-2300
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