Individual
LAURA AYLESTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1514 MILLIKENS BEND RD, HERNDON, VA 20170-2829
(571) 299-8883
Mailing address
7212 HELMSDALE RD, BETHESDA, MD 20817-4624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005931
VA
Other
Enumeration date
04/04/2014
Last updated
11/12/2019
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