Individual
ELISE BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27371 S 410 RD, VINITA, OK 74301
(918) 256-4800
Mailing address
27371 S 410 RD, VINITA, OK 74301
(918) 256-4800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4932
OK
Other
Enumeration date
06/12/2015
Last updated
11/22/2022
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