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1811479132
LISA MITRO
HENRICO, VA
NPI
1811479132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212332)
Enumeration Date
2018-09-04
Last Update Date
2020-09-12
Business Address
LISA MITRO DPT
7858 SHRADER RD
HENRICO, VA 23294-4222
Phone number: 804-285-2645
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Mailing Address
LISA MITRO DPT
1115 BOULDERS PKWY STE 200
NORTH CHESTERFIELD, VA 23225-4067
Phone number: 804-560-5595
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