LISA RENEE HENDRICKSON

NEWPORT NEWS, VA
NPI1699014712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000873)
Enumeration Date2013-02-08
Last Update Date2013-02-08
Business Address
-- LISA RENEE HENDRICKSON COTA/L
107 WOODBRIDGE DR
NEWPORT NEWS, VA 23608-8211
Phone number: 757-232-4366
Mailing Address
-- LISA RENEE HENDRICKSON COTA/L
107 WOODBRIDGE DR
NEWPORT NEWS, VA 23608
Phone number: 757-232-4366