Individual
LISA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 FIRST COLONIAL RD STE 204, VIRGINIA BEACH, VA 23454-3198
(757) 550-0725
Mailing address
5420 STEWART DR, VIRGINIA BEACH, VA 23464-7824
(757) 560-1429
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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