Individual
THOMAS DAVID BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 WILSON MANN RD, OWENS CROSS ROADS, AL 35763-8606
(256) 725-3400
Mailing address
194 T E MCKINNEY CIR, OWENS CROSS ROADS, AL 35763-9634
(256) 603-6325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7301
AL
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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