Individual
LARA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1015 WEST 47TH STREET, NORFOLK, VA 23529-0001
(757) 683-4228
Mailing address
3240 QUEENSBURY DR, VIRGINIA BEACH, VA 23452-7017
(703) 861-1626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011597
VA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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