Mariann Mendelsohn Brush, DPT

Individual provider Active NPI Pediatric Physical Therapist · Ashland, VA

NPI 1225538424 · NPPES record last updated Feb 15, 2018

Key facts

NPI
1225538424
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
2305203849 (VA)
Practice address
200 Berkley St
Ashland, VA 23005-1302
Phone
(804) 723-2070
Fax
(804) 723-2079
NPI assigned
Feb 15, 2018
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
2305203849VAMDPediatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2305203849 VA Yes

Addresses

Primary practice location

200 Berkley St
Ashland, VA 23005-1302

Mailing address

200 Berkley St
Ashland, VA 23005-1302
Phone (804) 723-2070

Other providers in Ashland, VA

All providers in Ashland, VA · Pediatric Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.