Individual
MISS BRANDEE NICOLE HAYCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1509 ALDERSHOT LN, CHESAPEAKE, VA 23320-2924
(757) 609-3301
Mailing address
1509 ALDERSHOT LN, CHESAPEAKE, VA 23320-2924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004294
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119004294
LICENSE TO PRACTICE AS OT
VA
Enumeration date
05/01/2007
Last updated
07/08/2007
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