Individual
KELLY BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 KELWOOD AVE, BATON ROUGE, LA 70806-4843
(225) 771-8173
Mailing address
8130 KELWOOD AVE, BATON ROUGE, LA 70806-4843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02673
LA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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