IndividualActive
Brandi Damron
NPI 1679143390 · Occupational Therapist · Wise, VA
Provider details
- NPI number
- 1679143390
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0119003329 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
628 Lake St Ne
Wise, VA 24293-7919
Phone: (276) 328-8017
Approximate (ZIP-level) locationGet directions
Mailing address
628 Lake St Ne
Wise, VA 24293-7919
Registry dates
- Enumerated
- 2021-06-25
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.