Individual
MS. LISA OSTERHOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4667 SIR GILBERT LOOP, WILLIAMSBURG, VA 23185-7947
(530) 693-5570
Mailing address
4667 SIR GILBERT LOOP, WILLIAMSBURG, VA 23185-7947
(530) 693-5570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604234
VA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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