Individual
BRETT DEMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3730 RICHFIELD LN, SALEM, VA 24153-1477
(540) 556-5664
Mailing address
3730 RICHFIELD LN, SALEM, VA 24153-1477
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605464
VA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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