Fd Blade Branham, PT

NPI #1114902392 in Palm Desert, California

Provider Information

NPI Number
1114902392
Entity Type
Individual
Name
Fd Blade Branham, PT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 12, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
73345 HIGHWAY 111 STE 103
ZIP Code
92260
Phone
(760) 340-1812

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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