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Contact Information

JUDE W LASERNA, PT
8605 CENTREVILLE RD
MANASSAS, VA20110-5265
 Phone: 703-257-6258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JUDE W LASERNA · (Male)

NPI Number 1184098402
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/24/2015
Last updated 11/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2305207587
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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