Doctor Name: | MRS. LAURIE ELIZABETH CUNNINGHAM |
NPI Number: | 1023104916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0105004393 |
Business Practice Address: | 3750 Old Lee Hwy Fairfax, VA - 220301806 |
Business Phone Number: | 7032467184 |
Business Fax Number: | 7032467307 |
Mailing Address: | 6063 Giant Oak Ct, CENTREVILLE |
State: | VA |
Postal Code: | 201213054 |
Phone Number: | 7039880285 |
Fax Number: | 7032467307 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0105004393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |