TIFFANY LYNN BRANTLEY
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1144812702- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6205 NW FERRIS AVE, LAWTON, OK, 735055703
- Phone
- (580) 353-0334
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OK #2963