Individual
MR. BRYAN KEITH SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
204 W 2ND ST N, BIG STONE GAP, VA 24219-2562
(804) 339-7066
Mailing address
204 W 2ND ST N, BIG STONE GAP, VA 24219-2562
(804) 339-7066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206750
VA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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