Brandon Gore

NPI #1063135515 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1063135515
Entity Type: Individual
Name: Brandon Gore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 20, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 2401 CABEZON BLVD SE STE 102
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-1513
Phone: (505) 994-2599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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