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Individual

MR. KEVIN P. SCHRACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, OCS, CMTPT

Contact information

Practice address
1580 ARMORY DR STE B, FRANKLIN, VA 23851-2470
(757) 562-0990
(757) 562-0496
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001987
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639296015
VA
05
4979699
VA
Enumeration date
03/23/2007
Last updated
05/03/2018
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