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Contact Information

LISA M GERVASONI
8254 ATTLEE ROAD
MECHANICSVILLE, VA23116
 Phone: 804-764-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA M GERVASONI · (Female)

NPI # 1063945624
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2017
Last updated 04/14/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119006885
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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