Individual
BRANDY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3440 BELL ST, SUITE 306, AMARILLO, TX 79109-4147
(806) 331-6084
(806) 331-6085
Mailing address
PO BOX 1178, PANHANDLE, TX 79068-1178
(806) 672-6520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1114619
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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