Provider Demographics
NPI:1588200299
Name:LAUGHORN, CHRISTEN LEIGH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:LEIGH
Last Name:LAUGHORN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1600
Mailing Address - Country:US
Mailing Address - Phone:434-250-4581
Mailing Address - Fax:
Practice Address - Street 1:1400 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5768
Practice Address - Country:US
Practice Address - Phone:434-845-6045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305212203225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist