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Individual

JENNIFER W. BROWDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
204 GUMWOOD DR, SMITHFIELD, VA 23430-6087
(757) 357-7762
(757) 357-7765
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204006
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004979796
VA
01
1144553983
MEDICAID QMB
VA
01
C05954
GROUP MEDICARE PIN
VA
Enumeration date
09/11/2009
Last updated
02/27/2014
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