Individual
CARLA DAWN BRANDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
125 E TOWNSHIP ST STE 5, FAYETTEVILLE, AR 72703-2896
(479) 521-9119
Mailing address
125 E TOWNSHIP ST STE 5, FAYETTEVILLE, AR 72703-2896
(479) 521-9119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3373
AR
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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