Individual
TANYA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 TAHOMA BLVD, SUITE 207, YELM, WA 98597-7735
(360) 458-6400
(360) 458-6444
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60589729
WA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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