Provider Demographics
NPI:1477438729
Name:AGBAPURUONWU, HELEN EZINNE (DS)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:EZINNE
Last Name:AGBAPURUONWU
Suffix:
Gender:F
Credentials:DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 S FLORIDA ST APT 6
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-2545
Mailing Address - Country:US
Mailing Address - Phone:571-444-3829
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:218 N LEE ST STE 326-327
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2660
Practice Address - Country:US
Practice Address - Phone:703-395-5157
Practice Address - Fax:703-395-5157
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA3666222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist