Individual
BRANDON ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7019 NW CACHE RD, LAWTON, OK 73505-2707
(580) 536-1279
Mailing address
2 NW 69TH ST, LAWTON, OK 73505-5302
(479) 301-3378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2596
OK
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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