Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT015368 | PA |
Y | 2251N0400X | Physical Therapist - Neurology | 2305205494 | VA |
NPI | 1538124730 |
---|---|
Provider Name | Laura Morris |
First Address | Alexandria, VA 22304-2907 |
Second Address | Alexandria, VA 22304-2907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 08/01/2010 |