Individual
MRS. JENNIFER R PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT MASTECTOMY FTR
Contact information
Practice address
50 S PICKETT ST, SUITE 210, ALEXANDRIA, VA 22304-7206
(703) 461-7534
(703) 461-7534
Mailing address
2513 IRON FORGE RD, OAK HILL, VA 20171-2950
(703) 579-5799
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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