Individual
DELISA RENE' HORN BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
632 HURT ST SW, ABINGDON, VA 24210-3018
(423) 213-7318
Mailing address
632 HURT ST SW, ABINGDON, VA 24210-3018
(423) 213-7318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0000004417
TN
225200000X
Physical Therapy Assistant
Primary
2306001094
VA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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