Individual
MACKENZIE SCOTT LAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
43490 YUKON DR STE 212, ASHBURN, VA 20147-7326
(703) 729-7920
(703) 729-7923
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(703) 729-7920
(703) 729-7923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216261
VA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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