Individual
BRIAN BRANTON ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-0833
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-0833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15112
NC
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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