Individual
JENNIFER BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
21501 THORNHILL PL, BROADLANDS, VA 20148-5068
(703) 244-6586
Mailing address
21501 THORNHILL PL, BROADLANDS, VA 20148-5068
(703) 244-6586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603923
VA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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