Individual
EMMY BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10101 SE MAIN ST, PB2, PORTLAND, OR 97216-2455
(503) 251-6100
(503) 251-6843
Mailing address
10101 SE MAIN ST, PB2, PORTLAND, OR 97216-2455
(503) 251-6100
(503) 251-6843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06074
OR
225100000X
Physical Therapist
070-015986
IL
Other
Enumeration date
07/26/2007
Last updated
07/15/2013
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