Individual
DERRYN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
860 OMNI BLVD, SUITE 203, NEWPORT NEWS, VA 23606-4430
(757) 223-9403
(757) 327-0658
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207431
VA
Other
Enumeration date
08/01/2012
Last updated
03/19/2021
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