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Individual

MR. BRANDON LAWSHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC, LAT, PES

Contact information

Practice address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 581-3400
(817) 421-0908
Mailing address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 581-3400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147057
TX
2255A2300X
Athletic Trainer
AT1575
TX

Other

Enumeration date
09/08/2005
Last updated
05/05/2008
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