Individual
BRAYDEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 272-4201
Mailing address
2160 SWAIN RD, HALIFAX, VA 24558-2278
(434) 579-0197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217331
VA
Other
Enumeration date
11/17/2025
Last updated
11/19/2025
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