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STEPHANIE JAMES HARRIS PT
Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1326137712
Individual Registrant: STEPHANIE JAMES HARRIS PT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4211 FAIRFAX CORNER AVE E SUITE 200 FAIRFAX, VA 22030-8622 US
Tel: 703-222-6211 Fax: --
Tel: 703-222-6211 Fax: --
Contact information for business:
3236 FOXVALE DR OAKTON, VA 22124-2261 US
Tel: 804-339-3633 Fax: --
Tel: 804-339-3633 Fax: --
Registration Information:
NPI: 1326137712
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Orthopedic | VA | 2305204367 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 891627600 | FL | 05 |
