Individual
MARION ANN LISENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
139 SHIP SHOAL WAY, VIRGINIA BEACH, VA 23451-6544
(757) 404-0440
(757) 524-4004
Mailing address
PO BOX 1615, VIRGINIA BEACH, VA 23451-9615
(757) 404-0440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004732
VA
225100000X
Physical Therapist
3150
HI
2251G0304X
Geriatric Physical Therapist
2305004732
VA
261QP2000X
Physical Therapy Clinic/Center
2305004732
VA
Other
Enumeration date
01/18/2024
Last updated
06/16/2025
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