Individual
BRENDA RAIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 FORD ST, LLANO, TX 78643-2309
(325) 247-7848
(325) 248-0536
Mailing address
1100 FORD ST, LLANO, TX 78643-2309
(325) 247-7848
(325) 248-0536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1120160
TX
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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