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Individual

BRANDY MARIE ERMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4208 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
Mailing address
750 SUNSET AVE, GOLIAD, TX 77963-3992
(979) 541-7944

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044907
TX

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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