Individual
MR. LAMAR BRANDON FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 483-4684
Mailing address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 483-4684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205299
VA
2251X0800X
Orthopedic Physical Therapist
2305205299
VA
Other
Enumeration date
12/27/2007
Last updated
10/15/2009
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