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1609047075
LISA A. KRACKOW
ROANOKE, VA
NPI
1609047075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001639)
Enumeration Date
2008-03-13
Last Update Date
2008-03-13
Business Address
LISA A. KRACKOW PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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Mailing Address
LISA A. KRACKOW PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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