Individual
MS. BRENDA SUE BAYNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
540 ABERTHAW AVE, NEWPORT NEWS, VA 23601-4103
(757) 595-1946
(757) 595-3238
Mailing address
870 WILMONT LN, NEWPORT NEWS, VA 23608-3226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001273
VA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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