Individual
KYLE PULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4613 DUKE ST STE B, ALEXANDRIA, VA 22304-2559
(703) 751-1052
(703) 751-1053
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214202
VA
225100000X
Physical Therapist
Primary
23926
MA
Other
Enumeration date
09/26/2018
Last updated
03/15/2021
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