Individual
DR. BRANDON DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
116 APPLEWOOD DR, ONA, WV 25545-9581
(276) 970-6076
Mailing address
2523 YATES CROSSING RD, MILTON, WV 25541-8509
(276) 970-6076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003963
WV
Other
Enumeration date
05/18/2018
Last updated
12/08/2022
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