Individual
BRYCE TAYLOR KOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6425 RICHMOND RD, WILLIAMSBURG, VA 23188-7202
(757) 345-3242
Mailing address
103 BAILEY RD, YORKTOWN, VA 23692-3228
(757) 725-2838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216420
VA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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