Individual
KING BRANGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 SHIRLEY AVE, REVERE, MA 02151-3258
(781) 629-7110
(781) 629-4754
Mailing address
199 SHIRLEY AVE, REVERE, MA 02151-3258
(781) 629-7110
(781) 629-4754
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
968
MA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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