MEDICARE: LAURIN SUNSHINE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1528529443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIN SUNSHINE DPT

Provider Business Mailing Address
First Line	:	9130 DICKEY DR
Second Line	:
City	:	MECHANICSVLLE
State	:	VA
Zip	:	23116-2502
Country	:	US
Telephone Number	:	804-723-5940
Fax Number	:

Provider Business Practice Location Address
First Line	:	9130 DICKEY DR
Second Line	:
City	:	MECHANICSVLLE
State	:	VA
Zip	:	23116-2502
Country	:	US
Telephone Number	:	804-723-5940
Fax Number	:	804-723-5949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	03/26/2019

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Directions to “ LAURIN SUNSHINE DPT” Practice Location

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