Individual
ADAM TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W MARSHALL ST, RICHMOND, VA 23230-4706
(804) 342-5857
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213758
VA
Other
Enumeration date
04/14/2021
Last updated
04/26/2021
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