Individual
DANIEL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CMT
Contact information
Practice address
14524 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6803
(703) 490-6726
Mailing address
14524 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6803
(703) 490-6726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209583
VA
225700000X
Massage Therapist
0019007635
VA
Other
Enumeration date
07/01/2015
Last updated
07/09/2015
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