Individual
JULIA SANDRIDGE LAFOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1031 E MOUNTAIN ST BLDG 318-101, KERNERSVILLE, NC 27284-7998
(336) 996-4980
(336) 996-3521
Mailing address
1031 E MOUNTAIN ST BLDG 318-101, KERNERSVILLE, NC 27284-7998
(336) 996-4980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19719
NC
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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