MR. Matthew Lane Brannon, PTA
NPI #1457359564 in Paso Robles, California
Provider Information
- NPI Number
- 1457359564
- Entity Type
- Individual
- Name
- MR. Matthew Lane Brannon, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1414 PARK ST
- City
- Paso Robles
- State
- California
- ZIP Code
- 93446-2160
- Phone
- (805) 237-0272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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