SearchVirginia225200000X

Laurie Lake-Green, PTA

NPI 1578861316 · on the registry since 2011 · sole proprietor

Practice

Address
140 Brimley Dr
Fredericksburg, VA 22406
Phone
(540) 752-0111
Fax
(540) 752-0393
Organisation at this address
Stafford Healthcare Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia