Individual
MRS. LISA A GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, LMT
Contact information
Practice address
900 STANHOPE GDNS STE 101, CHESAPEAKE, VA 23320-0709
(757) 842-6562
(757) 842-6563
Mailing address
900 STANHOPE GDNS STE 101, CHESAPEAKE, VA 23320-0709
(757) 842-6562
(757) 842-6563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604026
VA
225700000X
Massage Therapist
0019012791
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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