Individual
LISA J NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 WILKES RIDGE DR, RICHMOND, VA 23233-7632
(804) 877-4000
Mailing address
3516 VINERY AVE, HENRICO, VA 23233-7858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001822
VA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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