Joelle Shelton Bray

Individual provider Active NPI Physical Therapy Assistant · Chatham, VA

NPI 1124585872 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1124585872
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306604777 (VA)
Practice address
101 Rorer Street
Chatham, VA 24531
Phone
(434) 432-0471
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2306604777VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604777 VA Yes

Addresses

Primary practice location

101 Rorer Street
Chatham, VA 24531

Mailing address

3640 Orphanage Rd
Danville, VA 24540-8624

Other providers in Chatham, VA

All providers in Chatham, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.