Shane Bratcher
NPI #1578045506 in Farmington, New Mexico
Provider Information
- NPI Number
- 1578045506
- Entity Type
- Individual
- Name
- Shane Bratcher
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 6, 2018
- Last Updated
- Sep 6, 2018
Practice Location
- Address
- 5840 FORTUNA DR
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-8210
- Phone
- (505) 599-8625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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