Individual
TATANYA BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
308 E 7TH ST STE 2, MOUNTAIN HOME, AR 72653-4671
(870) 701-1821
(870) 701-0110
Mailing address
308 E 7TH ST STE 2, MOUNTAIN HOME, AR 72653-4671
(870) 701-1821
(870) 701-0110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1914
AR
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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