Individual
BRANDI THIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Mailing address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7314
LA
Other
Enumeration date
10/02/2007
Last updated
12/20/2012
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