BRANDON NICHOLAS WILSON

RICHLAND, WA
NPI1659874246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: WA  PT60761377)
Enumeration Date2018-03-09
Last Update Date2018-06-16
Business Address
BRANDON NICHOLAS WILSON DPT
1351 FOWLER ST
RICHLAND, WA 99352-4714
Phone number: 509-946-1654
Mailing Address
BRANDON NICHOLAS WILSON DPT
3003 QUEENSGATE DR APT 329
RICHLAND, WA 99352-4237
Phone number: 919-376-6908
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