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Physical Therapist

NPI: 1366951055IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 3 locations total

Address
841 Glendale Rd Apt 12
Galax, VA 24333

Quick Facts

NPI
1366951055
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
3
Years in Practice
10

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