Individual
LAURA M FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19441 GOLF VISTA PLZ, SUITE 230, LANSDOWNE, VA 20176-8269
(703) 724-7474
Mailing address
19441 GOLF VISTA PLZ, SUITE 230, LANSDOWNE, VA 20176-8269
(703) 724-7474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206011
VA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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