RYAN MARSHALL BRABHAM

SPENCER, WV
NPI1376908517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  001519)
Enumeration Date2015-12-15
Last Update Date2015-12-15
Business Address
Mr. RYAN MARSHALL BRABHAM PTA
825 SUMMIT ST
SPENCER, WV 25276-1035
Phone number: 304-927-1007
Mailing Address
Mr. RYAN MARSHALL BRABHAM PTA
1705 MIDDLE FRK
REEDY, WV 25270-9781
Phone number: 304-989-0099