Individual
COLBY P BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCO
Contact information
Practice address
19221 INTERSTATE 45 S, SUITE 110, SHENANDOAH, TX 77385-8756
(281) 419-6638
(281) 419-3757
Mailing address
19221 INTERSTATE 45 S, SUITE 110, SHENANDOAH, TX 77385-8756
(281) 419-6638
(281) 419-3757
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
181
TX
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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