Individual
SIERRA BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 SHELBY RD, LA CROSSE, WI 54601-8037
(608) 519-9801
Mailing address
N1418 TIMBER VALLEY RD, LA CROSSE, WI 54601-2172
(608) 787-6386
(608) 788-4543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2054-19
WI
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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