Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2305212210 | VA |
NPI | 1477223196 |
---|---|
Provider Name | Dr. Laura Jane Scurria |
First Address | Norfolk, VA 23505-4202 |
Second Address | Virginia Beach, VA 23462-5631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2021 |
Last Update Date | 14/09/2021 |