Mr. Jude Warner Laserna
Physical Therapist - Geriatrics
8605 Centreville Rd
Manassas
, Virginia 20110-5265
Mr. Jude Warner Laserna
Physical Therapist - Geriatrics
8605 Centreville Rd
Manassas
, Virginia 20110-5265
(804) 931-0245
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Jude Warner Laserna
- 14006 Gunners Pl
- Centreville, VA
- Zip : 20121-3536
- Phone : (804) 931-0245
Second Address
- Mr. Jude Warner Laserna
- 8605 Centreville Rd
- Manassas, VA
- Zip : 20110-5265
- Phone : (703) 257-6258
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Is Mr. Jude Warner Laserna a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 2305207587 | VA |
National Provider Identifier
| NPI | 1184098402 |
|---|---|
| Provider Name | Mr. Jude Warner Laserna |
| First Address | Centreville, VA 20121-3536 |
| Second Address | Manassas, VA 20110-5265 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2015 |
| Last Update Date | 24/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.