Individual
JAMES RAY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W MARSHALL ST, RICHMOND, VA 23230-4706
(804) 687-4919
Mailing address
7302 KENNETH DR, RICHMOND, VA 23228-4327
(804) 687-4919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212907
VA
Other
Enumeration date
06/12/2019
Last updated
06/20/2019
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