Individual
BRENDA C PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1015 CHISWICK RD, NORTH CHESTERFIELD, VA 23235-6115
(804) 937-8176
Mailing address
1015 CHISWICK RD, NORTH CHESTERFIELD, VA 23235-6115
(804) 937-8176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004193
VA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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