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Individual

MS. LISA M GERVASONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8254 ATTLEE ROAD, MECHANICSVILLE, VA 23116
(804) 764-1000
Mailing address
8640 TRENT RD, NORTH CHESTERFIELD, VA 23235-4152
(804) 882-7699

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006885
VA

Other

Enumeration date
04/10/2017
Last updated
04/14/2026
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