Provider Demographics
NPI:1437213691
Name:MIGLIORESE NEMETS, LAURA ANNE (PT, OCS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:MIGLIORESE NEMETS
Suffix:
Gender:F
Credentials:PT, OCS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANNE MIGLIORESE
Other - Last Name:NEMETS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, OCS
Mailing Address - Street 1:4040 FAIRFAX DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1613
Mailing Address - Country:US
Mailing Address - Phone:703-292-4060
Mailing Address - Fax:703-292-4066
Practice Address - Street 1:4040 FAIRFAX DR STE 120
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1613
Practice Address - Country:US
Practice Address - Phone:703-292-4060
Practice Address - Fax:703-292-4066
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2869225100000X
MD19287225100000X
VA2305202844225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist