Colby P Brotherton, LCO

NPI #1740548643 in Shenandoah, Texas

Provider Information

NPI Number
1740548643
Entity Type
Individual
Name
Colby P Brotherton, LCO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotist
Credential
LCO
Enumeration Date
Apr 27, 2012
Last Updated
Apr 27, 2012

Practice Location

Address
19221 INTERSTATE 45 S
Address 2
SUITE 110
State
Texas
ZIP Code
77385-8756
Phone
(281) 419-6638

Specialties & Taxonomy Codes

Specialty
Orthotist

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