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Individual

LIDIA DEMORIZI COUSINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
13700 ST FRANCIS BLVD, SUITE 103, MIDLOTHIAN, VA 23114-3222
(804) 379-9086
(804) 379-1283
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004726
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010206430
VA
01
1108934
AETNA/US (HMO)
VA
01
192302
ANTHEM THERAPY
VA
01
258462
SOUTHERN HEALTH
VA
01
540885859
FIRST HEALTH/CCN
VA
01
7292707
AETNA
VA
01
98999
OPTIMA HEALTH
VA
01
CIGNA
540885859
VA
Enumeration date
05/19/2006
Last updated
06/01/2020
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