Mrs. Larissa Gizelle Neal
Physical Therapist - Geriatrics
1640 Redstone Center Dr 200
Park City
, Utah 84098-7605
Mrs. Larissa Gizelle Neal
Physical Therapist - Geriatrics
1640 Redstone Center Dr 200
Park City
, Utah 84098-7605
(703) 729-7311
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mrs. Larissa Gizelle Neal
- 44863 Milestone Sq 302
- Ashburn, VA
- Zip : 20147-4203
- Phone : (703) 729-7311
Second Address
- Mrs. Larissa Gizelle Neal
- 1640 Redstone Center Dr 200
- Park City, UT
- Zip : 84098-7605
- Phone : (888) 800-8744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 2305204903 | VA |
National Provider Identifier
| NPI | 1053579250 |
|---|---|
| Provider Name | Mrs. Larissa Gizelle Neal |
| First Address | Ashburn, VA 20147-4203 |
| Second Address | Park City, UT 84098-7605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2008 |
| Last Update Date | 26/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.