Individual
BRYCE SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6627 W BROAD ST, RICHMOND, VA 23230-1732
(804) 723-3215
Mailing address
6627 W BROAD ST, RICHMOND, VA 23230-1732
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305210344
VA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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