Individual
LAUREN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
20480 MARKET ST, ONANCOCK, VA 23417-4309
(757) 710-7968
Mailing address
27311 DRUMMONDTOWN RD, ONLEY, VA 23418-2219
(757) 710-7968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603103
VA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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