Provider Demographics
NPI:1699074518
Name:CONTINETTI, LAURA MARIE (DPT, CSCS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:CONTINETTI
Suffix:
Gender:F
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARIE
Other - Last Name:PITRELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3620 JOSEPH SIEWICK DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1756
Mailing Address - Country:US
Mailing Address - Phone:703-391-0811
Mailing Address - Fax:703-391-0213
Practice Address - Street 1:3620 JOSEPH SIEWICK DR
Practice Address - Street 2:SUITE 403
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1756
Practice Address - Country:US
Practice Address - Phone:703-391-0811
Practice Address - Fax:703-391-0213
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206274225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist