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MR. MATTHEW LANE BRANNON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1414 PARK ST, PASO ROBLES, CA 93446-2160
(805) 237-0272
Mailing address
1414 PARK ST, PASO ROBLES, CA 93446-2160
(805) 237-0272

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4604
CA

Other

Enumeration date
07/12/2005
Last updated
07/08/2007
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