Individual
MS. GILLIAN LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1908 3RD STREET, NE, APT #3, WASHINGTON, DC 20002-1465
(202) 321-2430
Mailing address
1908 3RD ST NE, APT #3, WASHINGTON, DC 20002-1465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23911
MD
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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