Individual
DR. BRANDEN SHANE BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5300 S SOUTHERN HILLS CT # 200, ROGERS, AR 72758-3500
(479) 636-1324
Mailing address
6104 EVERGREEN DR, LITTLE ROCK, AR 72207-6312
(479) 871-5330
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT4849
AR
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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