Individual
DAWN RAE BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 MARTIN LUTHER KING JR LN, TEMPLE, TX 76504-5941
(254) 791-8280
Mailing address
120 QUARTZ DR, JARRELL, TX 76537-1377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067502
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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