Individual
BRANT DAVID LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
7399 W 97TH ST, OVERLAND PARK, KS 66212-2210
(913) 649-9090
(913) 649-9091
Mailing address
7399 W 97TH ST, OVERLAND PARK, KS 66212-2210
(913) 649-9090
(913) 649-9091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04252
KS
Other
Enumeration date
06/13/2011
Last updated
06/15/2011
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