Individual
BRANDON WAYNE HOUDASHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
Mailing address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606725
VA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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