Individual
LISA K MARCHAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501-1708
(434) 845-8765
Mailing address
3300 RIVERMONT AVE, OUTPATIENT REHABILITATION, LYNCHBURG, VA 24503
(434) 200-5032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002649
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978757
—
VA
01
—
441471
ANTHEM PROVIDER NUMBER
VA
05
—
QTH998
—
SC
Enumeration date
04/05/2006
Last updated
08/16/2017
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