Individual
MS. LISA MARIE GENTILINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10710 MIDLOTHIAN TPKE, FAIRFAX BUILDING SUITE 127, RICHMOND, VA 23235-4722
(804) 267-6726
(804) 267-6759
Mailing address
10710 MIDLOTHIAN TPKE, FAIRFAX BUILDING SUITE 127, RICHMOND, VA 23235-4722
(804) 267-6726
(804) 267-6759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003675
VA
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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