Individual
LARA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
107 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2341
(540) 932-5935
Mailing address
PO BOX 1000, FISHERSVILLE, VA 22939-1000
(540) 932-5935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202662
VA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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