Individual
SAMANTHA RENE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
Mailing address
108 S CENTENNIAL ST, MOXEE, WA 98936-9371
(509) 281-1107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161192596
WA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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