Individual
BRANDI GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1503 CLAYTON AVE, POTEAU, OK 74953-4102
(918) 647-9026
Mailing address
1503 CLAYTON AVE, POTEAU, OK 74953-4102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1188
OK
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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