MONA FAZZINA — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, VA)
MONA FAZZINA — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, VA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MONA FAZZINA; Type: Individual; NPI: 1003118704.
| Name | MONA FAZZINA |
|---|---|
| Type | Individual |
| NPI | 1003118704 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | VA |
| Enrollment ID | I20170306000361 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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