Individual
JOSHUA LANE YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4301 W BROAD ST, RICHMOND, VA 23230-3305
(804) 358-0361
(804) 358-4286
Mailing address
261 BRUCE RD, TAPPAHANNOCK, VA 22560-5233
(804) 238-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009402331
—
VA
01
—
20091
SENTARA
VA
Enumeration date
10/04/2005
Last updated
10/25/2019
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