Individual
MR. BRIAN PATRICK WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ARBOR DR STE 103, CHRISTIANSBURG, VA 24073-6585
(540) 443-3428
Mailing address
14900 CUMBERLAND GAP RD, NEW CASTLE, VA 24127-7749
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002428
VA
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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