Most Relevant Information
Provider Data
| NPI Number: | 1003401167 |
| Provider Name: | LISA MCCOY LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2306605432 |
Most Important Dates
| Enumeration Date: | 03/01/2021 |
| Last Updated: | 03/01/2021 |
Provider Practice Location
344 MCLAWS CIR
WILLIAMSBURG
VA
231855648
Practice Location Phone/Fax
| Phone: | 7575647381 |
| Fax: |
Provider Mailing Location
344 MCLAWS CIR
WILLIAMSBURG
VA
231855648
Provider Mailing Phone/Fax
| Phone: | 7575647381 |
| Fax: |