Individual
MRS. BRENDA SUE HUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11141 STATE ROUTE 676, VINCENT, OH 45784-5476
(740) 749-3379
Mailing address
11141 STATE ROUTE 676, VINCENT, OH 45784-5476
(740) 749-3379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001413
WV
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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