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Individual

BRANDEN SPECKHALS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2347 HIGHWAY 100, HERMANN, MO 65041-4226
(573) 690-8862
Mailing address
2347 HIGHWAY 100, HERMANN, MO 65041-4226
(573) 690-8862

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012038625
MO
225200000X
Physical Therapy Assistant
2094108
TX

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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