Individual
MR. BRANDON HEATH EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6501 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73132-6505
(405) 721-0089
Mailing address
7808 NW 83RD ST, OKLAHOMA CITY, OK 73132-3305
(405) 773-0174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1048
OK
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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