Prillaman, Brooke Joyce

Prillaman, Brooke Joyce is an individual health care provider with primary practice located at 812 E Church St , Martinsville VA 24112-3109. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Prillaman, Brooke Joyce can be contacted via phone (276) 638-4890.

Contact Information

Primary practice address
812 E Church St Martinsville VA 24112-3109
Phone: (276) 638-4890
Fax: (276) 638-5139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 0119-007432 Virginia

Profile Details

NPI number 1063937969
LBN Legal business name Prillaman, Brooke Joyce
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2017
Last updated Aug 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063937969 NPPES
Virginia Other 0119-007432 VIRGINIA BOARD OF MEDICINE STATE LICENSE NUMBER

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