Individual
DIANA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115 E. SPRINGFIELD, ST. JAMES, MO 65559
(573) 694-2781
Mailing address
PO BOX 778, SAINT JAMES, MO 65559-0778
(573) 694-2781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000174333
MO
Other
Enumeration date
09/24/2008
Last updated
05/29/2013
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