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Individual

DR. JACOB TYLER WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
29 CEDAR RIDGE DRIVE, DALEVILLE, VA 24083
(304) 645-2525
Mailing address
1217 TREVINO DR NE, ROANOKE, VA 24019-5843
(540) 597-3091

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305215038
VA

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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