Individual
MRS. LISA PALOMO BAST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2400 FALL HILL AVE, SUITE 232, FREDERICKSBURG, VA 22401-3320
(540) 899-0500
(540) 899-7692
Mailing address
18 GALLERY RD, STAFFORD, VA 22554-8839
(540) 899-0500
(540) 899-7692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006642
VA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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