Individual
DYLAN WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 WEAVER AVE, EMPORIA, VA 23847-1248
(434) 336-5300
Mailing address
628 PEACHTREE ST, EMPORIA, VA 23847-2520
(804) 399-5706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605606
VA
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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