Individual
BRIAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, VATL
Contact information
Practice address
2425 SHOREHAVEN DR, VIRGINIA BEACH, VA 23454-1749
(757) 648-5250
Mailing address
505 BUFFER CT, VIRGINIA BEACH, VA 23462-4504
(757) 418-2095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001621
VA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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