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1174945661
KENDALL TRAE TRAVIS
LYNCHBURG, VA
NPI
1174945661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208170)
Enumeration Date
2014-01-17
Last Update Date
2023-05-12
Business Address
Mr. KENDALL TRAE TRAVIS PT, DPT
801 WYNDHURST DR
LYNCHBURG, VA 24502-2550
Phone number: 434-237-8160
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Mailing Address
Mr. KENDALL TRAE TRAVIS PT, DPT
801 WYNDHURST DR
LYNCHBURG, VA 24502-2550
Phone number: 434-237-8160
Copy
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