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Individual

HUGHSTON C KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
111 CHURCH ST NW STE 201, VIENNA, VA 22180-4536
(703) 272-8340
Mailing address
112 2ND ST, RADFORD, VA 24141-1509
(540) 239-0307

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213759
VA
225100000X
Physical Therapist
VA

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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