Individual
LAUREN BETH STARACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44927 GEORGE WASHINGTON BLVD, #210, ASHBURN, VA 20147-4295
(571) 291-9936
Mailing address
44927 GEORGE WASHINGTON BLVD, #210, ASHBURN, VA 20147-4295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18432
MA
225100000X
Physical Therapist
Primary
2305206813
VA
225100000X
Physical Therapist
40QA01215900
NJ
225100000X
Physical Therapist
PT36159
CA
2251P0200X
Pediatric Physical Therapist
2305206813
VA
Other
Enumeration date
10/16/2008
Last updated
07/05/2016
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