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Individual

DEBORA ANN BRUMBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2875 BARN RD, SUITE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786
(540) 633-0787
Mailing address
2875 BARN RD, SUITE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786
(540) 633-0787

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119005891
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4978803
VA
Enumeration date
04/02/2013
Last updated
04/02/2013
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