Individual
DOLORES E BRANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 W 92 HWY, SUITE H, KEARNEY, MO 64060-7590
(816) 903-0775
(816) 903-0776
Mailing address
101 W 92 HWY, SUITE H, KEARNEY, MO 64060-7590
(816) 903-0775
(816) 903-0776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006024381
MO
Other
Enumeration date
06/19/2006
Last updated
02/13/2013
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