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Individual

LENNY RAY MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2580 PRUDEN BLVD, SUFFOLK, VA 23434-4229
(757) 934-2363
Mailing address
3505 SEDGEFILED STREET, SUFFOLK, VA 23435
(757) 934-2363

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006195
VA

Other

Enumeration date
06/03/2016
Last updated
06/03/2016
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