Brandon Crosdale
Physical Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1891192514
StatusActive
Last updated in NPPESNov 24, 2014
Details
- NPI
- 1891192514
- Entity type
- Individual (NPI-1)
- Name
- Brandon Crosdale
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2014
- Last updated
- Nov 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1243563 | TX | Yes |
Practice location
10526 W Parmer LnSuite 403
Austin, TX 78717-5056
Phone 512-900-3302
Mailing address
10526 W Parmer LnSuite 403
Austin, TX 78717-5056
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