Individual
BRANDI PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
Mailing address
9876 N CANYON CREEK LN, FRESNO, CA 93730-1239
(559) 917-1902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50787
CA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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