Individual
DEBBY BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1255 INDIANA STATE ROAD 46, TERRE HAUTE, IN 47803
(319) 123-4567
Mailing address
5845 CACTUS LN, WATERLOO, IA 50701-9413
(319) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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