Individual
MR. RYAN MARSHALL BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
Mailing address
1705 MIDDLE FRK, REEDY, WV 25270-9781
(304) 989-0099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001519
WV
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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