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MR. KEVIN WAYNE WARREN LPTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1841522034

Individual Registrant:
MR. KEVIN WAYNE WARREN LPTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1443 IRISBURG RD  AXTON, VA 24054-2388 US
Tel: 276-732-1658  Fax: --

Contact information for business:
1443 IRISBURG RD  AXTON, VA 24054-2388 US
Tel: 276-732-1658  Fax: --

Registration Information:
NPI: 1841522034
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
VA2306601918

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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