Mrs. Brooke Joyce Prillaman
Occupational Therapist - Physical Rehabilitation
812 E Church St
Martinsville
, Virginia 24112-3109
Mrs. Brooke Joyce Prillaman
Occupational Therapist - Physical Rehabilitation
812 E Church St
Martinsville
, Virginia 24112-3109
(276) 734-0205
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Brooke Joyce Prillaman
- 110 Fairview Dr
- Bassett, VA
- Zip : 24055-6010
- Phone : (276) 734-0205
Second Address
- Mrs. Brooke Joyce Prillaman
- 812 E Church St
- Martinsville, VA
- Zip : 24112-3109
- Fax : (276) 638-5139
- Phone : (276) 638-4890
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0119-007432 | VA |
National Provider Identifier
| NPI | 1063937969 |
|---|---|
| Provider Name | Mrs. Brooke Joyce Prillaman |
| First Address | Bassett, VA 24055-6010 |
| Second Address | Martinsville, VA 24112-3109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0119-007432 | VIRGINIA BOARD OF MEDICINE STATE LICENSE NUMBER (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.