FD BLADE BRANHAM

PALM DESERT, CA
NPI1114902392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT15311)
Enumeration Date2005-12-12
Last Update Date2007-07-08
Business Address
-- FD BLADE BRANHAM PT
73345 HIGHWAY 111 STE 103
PALM DESERT, CA 92260
Phone number: 760-340-1812
Mailing Address
-- FD BLADE BRANHAM PT
5962 LA PLACE COURT SUITE 170
CARLSBAD, CA 92008
Phone number: 800-929-4776
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