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Individual

LINDA L BRABANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1515 E CEDAR AVE STE E-2, FLAGSTAFF, AZ 86004-1646
(928) 214-7430
(928) 214-6022
Mailing address
1515 E CEDAR AVE STE E-2, FLAGSTAFF, AZ 86004-1646
(928) 214-7430
(928) 214-6022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5592
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
633992
AZ
Enumeration date
09/25/2006
Last updated
07/09/2007
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