Individual
JIMMY DANIEL PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
Mailing address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202460
VA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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