Individual
BRANDON ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3801 WADE COBLE DR, BURLINGTON, NC 27215-9765
(336) 538-1522
Mailing address
5618 WESLO WILLOW CIR APT 312, GREENSBORO, NC 27409-1741
(336) 688-7140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6817
NC
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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