Individual
MRS. COURTNEY BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1001 JAMERSON RD, WHITE OAK, TX 75693-2619
(903) 736-8409
Mailing address
1001 JAMERSON RD, WHITE OAK, TX 75693-2619
(903) 736-8409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2056173
TX
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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