Individual
KYLE ETHAN SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 HUNGARY SPRING RD STE D, HENRICO, VA 23228-2428
(804) 756-8490
Mailing address
3001 HUNGARY SPRING RD STE D, HENRICO, VA 23228-2428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216827
VA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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