Doctor Name: | BRIAN H EDMUNDS |
NPI Number: | 1114234309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, NCS |
License Number: | 2305003982 |
Business Practice Address: | 2004 Sandbridge Rd Suite 102 Virginia Beach, VA - 234564084 |
Business Phone Number: | 7573016316 |
Business Fax Number: | 7573016419 |
Mailing Address: | 771 Pilot House Dr, NEWPORT NEWS |
State: | VA |
Postal Code: | 236061990 |
Phone Number: | 7578732302 |
Fax Number: | 7578732306 |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305003982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |