Provider Demographics
NPI:1548323488
Name:DRURY, BRENDA M (CRT AE-C)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:M
Last Name:DRURY
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Gender:F
Credentials:CRT AE-C
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Mailing Address - Street 1:1290 SHANNOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3745
Mailing Address - Country:US
Mailing Address - Phone:401-789-7975
Mailing Address - Fax:401-789-1172
Practice Address - Street 1:1290 SHANNOCK RD
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-3745
Practice Address - Country:US
Practice Address - Phone:401-789-7975
Practice Address - Fax:401-789-1172
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIRCP003132278E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducational