Individual
MRS. ELIZABETH A BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT/MS
Contact information
Practice address
159 SHILO CIR, DURANGO, CO 81303-3632
(970) 259-7038
(970) 259-7038
Mailing address
159 SHILO CIR, DURANGO, CO 81303-3632
(970) 259-7038
(970) 259-7038
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26156571
—
CO
Enumeration date
11/04/2006
Last updated
07/09/2007
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