LISA NICHOLE CREADLE

VIRGINIA BEACH, VA
NPI1629930805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604310)
Enumeration Date2025-11-26
Last Update Date2025-11-26
Business Address
LISA NICHOLE CREADLE
3053 BLITZ CT
VIRGINIA BEACH, VA 23453-3210
Phone number: 757-567-5360
Mailing Address
LISA NICHOLE CREADLE
3053 BLITZ CT
VIRGINIA BEACH, VA 23453-3210
Phone number: 757-567-5360