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Organization
CENTRA HEALTH
Active
Organization
CENTRA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL TRAE TRAVIS PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(434) 942-3050
Entity
Organization
Contact information
Practice address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 237-8160
(434) 237-8161
Mailing address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 237-8160
(434) 237-8161
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0
VA
Other
Enumeration date
08/05/2013
Last updated
07/21/2022
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