Organization
VICTRESS HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARINO PT, DPT (OWNER)
(937) 232-5237
Entity
Organization
Contact information
Practice address
804 W RUSSELL RD, SIDNEY, OH 45365-9063
(937) 557-5657
(513) 230-2024
Mailing address
804 W RUSSELL RD, SIDNEY, OH 45365-9063
(937) 557-5657
(513) 230-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
04/25/2024
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