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Ms. BRANDIE COLLETTE DUPONT -- MS, ATC, PTA, CSCS

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1417003997
Provider Type
Individual Provider (NPI-1)
Credentials
MS, ATC, PTA, CSCS
Status
Active

Contact & Location

Address
685 36TH AVE NE, SALEM, OR, 973014741
Phone
(503) 371-8860

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #8730

All Addresses

MAILING

3018 SW CARSON ST

PORTLAND, OR, 972193720

(971) 275-7973

LOCATION

685 36TH AVE NE

SALEM, OR, 973014741

(503) 371-8860