Individual
MRS. LAURA ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1800 CAMERON GLEN DR, RESTON, VA 20190-3308
(703) 834-5800
Mailing address
835 SANTMYER DR SE, LEESBURG, VA 20175-5606
(571) 214-7251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000096
VA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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