Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 2305212082 | VA |
NPI | 1063992980 |
---|---|
Provider Name | Dr. Jessica Barczi Zorn |
First Address | Arlington, VA 22204-4204 |
Second Address | Fairfax, VA 22030-6044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |