Individual
MRS. CANDICE LYNN BRONAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
31235 EDGEWATER DR, MAGNOLIA, TX 77354-6238
(979) 900-0830
Mailing address
31235 EDGEWATER DR, MAGNOLIA, TX 77354-6238
(979) 900-0830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2182567
TX
225700000X
Massage Therapist
MT111469
TX
Other
Enumeration date
01/17/2011
Last updated
11/24/2024
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