Individual
BRAYDEN R GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
436 CENTRAL AVE, OAK HILL, WV 25901-3009
(304) 465-3654
Mailing address
604 PLEASANT VIEW RD, FAYETTEVILLE, WV 25840-1257
(435) 237-9068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004791
WV
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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