LISA A. KRACKOW

ROANOKE, VA
NPI1609047075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306001639)
Enumeration Date2008-03-13
Last Update Date2008-03-13
Business Address
-- LISA A. KRACKOW PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
Mailing Address
-- LISA A. KRACKOW PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208