Dolores E Branscom, PTA

NPI #1912942376 in Kearney, Missouri

Provider Information

NPI Number: 1912942376
Entity Type: Individual
Name: Dolores E Branscom, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 19, 2006
Last Updated: Feb 13, 2013

Practice Location

Address: 101 W 92 HWY
Address 2: SUITE H
City: Kearney
State: Missouri
ZIP Code: 64060-7590
Phone: (816) 903-0775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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