Individual
MRS. CAITLIN BRANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12640 S 2360 W, RIVERTON, UT 84065-6723
(912) 228-4702
Mailing address
12640 S 2360 W, RIVERTON, UT 84065
(912) 228-4702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8226872-2402
UT
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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