Individual
DR. BRANDON MATTHEW PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT,PHD
Contact information
Practice address
105 PALOMA PT, GEORGETOWN, TX 78628-6917
(512) 948-5795
Mailing address
105 PALOMA PT, GEORGETOWN, TX 78628-6917
(512) 948-5795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1163169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163169
TEXAS PHYSICAL THERAPY BOARD
TX
Enumeration date
11/30/2017
Last updated
11/30/2017
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