Individual
LISA HOANG MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12436 DILLINGHAM SQ, LAKE RIDGE, VA 22192-5258
(703) 340-2921
Mailing address
3933 PENSHURST LN APT 101, WOODBRIDGE, VA 22192-6360
(908) 202-1345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
10/09/2020
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