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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CLARICE M EZEANYA, DPT

Active

MRS. CLARICE M EZEANYA, DPT is a Physical Therapy Assistant healthcare provider located in SUWANEE, Georgia. NPI 1013253780 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SUWANEE, GA

Registration Details

NPI Number
1013253780
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2012 (13.642946760275 yrs)
Last Updated
Nov 24, 2021
Licenses
40QA01471200 (NJ)
PT011257 (GA)

Practice Information

Address
302 SATELLITE BLVD NE STE 111
SUWANEE, GA, 300247182
Browse GA providers · Browse ZIP 30024
Phone
8622026596
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SUWANEE, GA

Name Credential NPI
MELISSA JILL JOHNSON PT, ATC, CSCS 1134167216
MARIA E. DOOLEN PT 1023056025
DR. JEFFREY LEWANDOWSKI DPT, MTC, ATC, SCS 1568400257
EVAN BLACKBURN P.T. 1154437754
MRS. LEIGH ANNE NASH PT 1144330911
SEJONG KIM PT 1619079845
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.