Provider Demographics
NPI:1932966991
Name:FIERCE FRIENDS THERAPY, PLLC
Entity Type:Organization
Organization Name:FIERCE FRIENDS THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORELEI
Authorized Official - Middle Name:FRIENDS THERAPY
Authorized Official - Last Name:LASH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-447-7278
Mailing Address - Street 1:9109 GLENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3008
Mailing Address - Country:US
Mailing Address - Phone:703-261-9491
Mailing Address - Fax:276-409-6203
Practice Address - Street 1:9109 GLENBROOK RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3008
Practice Address - Country:US
Practice Address - Phone:703-261-9491
Practice Address - Fax:276-409-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy