Individual
BRANDON POEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 WATERFORD LAKE DR., UNIT 013, MIDLOTHIAN, VA 23112
(804) 249-8277
Mailing address
411 BAINBRIDGE ST APT 168, RICHMOND, VA 23224-2385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211089
VA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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