Individual
MR. DREW GUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604786
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306604786
VA STATE LICENSE
VA
Enumeration date
11/17/2020
Last updated
11/17/2020
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