Individual
STEPHANIE JAMES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4211 FAIRFAX CORNER AVE E, SUITE 200, FAIRFAX, VA 22030-8622
(703) 222-6211
Mailing address
3236 FOXVALE DR, OAKTON, VA 22124-2261
(804) 339-3633
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891627600
—
FL
Enumeration date
10/12/2006
Last updated
11/25/2010
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