Individual
MRS. LISA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1900 COOL LN, RICHMOND, VA 23223-3912
(804) 343-6121
Mailing address
20024 HALLOWAY AVE, PETERSBURG, VA 23803-6416
(804) 343-6121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601633
VA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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