IndividualActive
Azana Ezekiel, PTA
NPI 1265111850 · Physical Therapy Assistant · Lorton, VA
Provider details
- NPI number
- 1265111850
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 7924 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9455 Lorton Market St Ste 201
Lorton, VA 22079-1965
Phone: (703) 647-3120
Approximate (ZIP-level) locationGet directions
Mailing address
135 N Park Pl Ste 210
Stockbridge, GA 30281-7209
Additional practice locations (3)
- 135 N Park Pl Ste 210Stockbridge, GA 30281-7209Phone: (770) 627-0869
- 101 Fort Sanders West BlvdKnoxville, TN 37922-3342Phone: (865) 895-3000
- 501 Adesa BlvdLenoir City, TN 37771-6725Phone: (865) 333-1461
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-09-24
- Certified
- 2023-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.