Individual
MARY YOUNG LIPSCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4101 NINE MILE RD, RICHMOND, VA 23223-4916
(804) 222-1694
(804) 222-1164
Mailing address
8626 OAKCROFT RD, RICHMOND, VA 23229-7232
(804) 741-4837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001094
VA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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