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Individual

BRANDON J POLLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
243 CHENEY DR W, TWIN FALLS, ID 83301-4277
(208) 329-7667
(208) 329-7669
Mailing address
1444 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3408
(208) 736-2574
(208) 736-2594

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3854
NV
225100000X
Physical Therapist
Primary
PT-6982
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3854
STATE OF NEVADA BOARD OF PHYSICAL THERAPY
NV
Enumeration date
08/23/2018
Last updated
04/16/2020
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