Individual
ANTHONY REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
(866) 450-4522
Mailing address
PO BOX 794, FIELDALE, VA 24089-0794
(276) 806-0580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604123
VA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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