Individual
MRS. LISA GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13350 FRANKLIN FARM RD, STE. 300, HERNDON, VA 20171-4091
(703) 234-1045
(703) 471-0280
Mailing address
15139 WETHERBURN DR, CENTREVILLE, VA 20120-3925
(703) 830-3717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003496
VA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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