Individual
DR. LISA M MIROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14605 POTOMAC BRANCH DR STE 200, WOODBRIDGE, VA 22191-3337
(703) 580-5160
(703) 580-6880
Mailing address
14605 POTOMAC BRANCH DR STE 200, WOODBRIDGE, VA 22191-3337
(703) 580-5160
(703) 580-6880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212473
VA
225100000X
Physical Therapist
PT25638
FL
Other
Enumeration date
07/01/2010
Last updated
12/10/2020
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