Individual
MS. JEANETTE A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
525 E MARKET ST STE B, LEESBURG, VA 20176-4171
(703) 443-6700
Mailing address
12219 WISE LN, ROCKVILLE, VA 23146-1712
(804) 986-9696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005434
VA
Other
Enumeration date
06/19/2007
Last updated
03/25/2011
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