Individual
MRS. LAURA FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8059 STILLBROOKE RD, MANASSAS, VA 20112-4602
(785) 447-2941
Mailing address
8059 STILLBROOKE RD, MANASSAS, VA 20112-4602
(785) 447-2941
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PGP-0657774
VA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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