Individual
DR. KIMBERLY BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC/L
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 228-7009
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 228-7007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12528
OH
2255A2300X
Athletic Trainer
002816
OH
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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