Most Relevant Information
Provider Data
| NPI Number: | 1003570201 |
| Provider Name: | BROOKE BREEDEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2306605367 |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 10/28/2021 |
Provider Practice Location
170 KENDAL DR
LEXINGTON
VA
244501786
Practice Location Phone/Fax
| Phone: | 5404631910 |
| Fax: |
Provider Mailing Location
170 KENDAL DR
LEXINGTON
VA
244501786
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |