Individual
MRS. LAURIE ELIZABETH CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7184
(703) 246-7307
Mailing address
6063 GIANT OAK CT, CENTREVILLE, VA 20121-3054
(703) 988-0285
(703) 246-7307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0105004393
VA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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