Individual
LISA KINZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7143 SHREVE RD, FALLS CHURCH, VA 22043-3011
(703) 237-2219
Mailing address
7143 SHREVE RD, FALLS CHURCH, VA 22043-3011
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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