Most Relevant Information
Provider Data
| NPI Number: | 1003488511 |
| Provider Name: | ROXANNE BRINKMAN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2306001227 |
Most Important Dates
| Enumeration Date: | 07/14/2021 |
| Last Updated: | 07/14/2021 |
Provider Practice Location
3335 S CRATER RD
PETERSBURG
VA
238059214
Practice Location Phone/Fax
| Phone: | 8047656660 |
| Fax: | 8047655412 |
Provider Mailing Location
18727 SUTHERLAND AVE
SUTHERLAND
VA
238858947
Provider Mailing Phone/Fax
| Phone: | 8045864024 |
| Fax: |