Individual
BRANDI DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
Mailing address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003329
VA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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