Individual
BROOKE B PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811320161
—
VA
Enumeration date
08/09/2013
Last updated
09/15/2020
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