Individual
STEPHANIE LEARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
Mailing address
1350 BEVERLY RD APT 712, MC LEAN, VA 22101-3922
(717) 649-7465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
VA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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