Individual
LAUREN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
672 NAFF RD, BOONES MILL, VA 24065-1992
(540) 985-9813
(540) 985-4066
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
2305205520
VA
225100000X
Physical Therapist
Primary
2305205520
VA
Other
Enumeration date
03/13/2020
Last updated
08/15/2022
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