BRANDON JOHNSON

POCATELLO, ID
NPI1881139806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  3982)
Enumeration Date2016-12-29
Last Update Date2016-12-29
Business Address
-- BRANDON JOHNSON PTA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-226-6964
Mailing Address
-- BRANDON JOHNSON PTA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number:
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