Individual
MRS. LISA LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6066 LEESBURG PIKE STE 900, FALLS CHURCH, VA 22041-2240
(703) 820-2001
Mailing address
705 WINTERGREEN DR, PURCELLVILLE, VA 20132-3290
(540) 338-2973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003392
VA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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