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Individual

MR. BRANDON J CRIDLEBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
840 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5502
(509) 338-9204
(509) 338-9206
Mailing address
840 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5502
(509) 338-9204
(509) 338-9206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010668
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT00010668
PHYSICAL THERAPIST
WA
Enumeration date
08/08/2007
Last updated
08/08/2007
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