Individual
DEWAYNE STEVEN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
134 CECIL D. QUILLEN DRIVE, DUFFIELD, VA 24244
(276) 431-3141
(276) 431-3143
Mailing address
RT. 4 BOX 4691, JONESVILLE, VA 24263
(276) 346-4129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001140
VA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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