Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FD BLADE BRANHAM, PT
ActiveFD BLADE BRANHAM, PT is a Physical Therapy Assistant healthcare provider located in PALM DESERT, California. NPI 1114902392 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PALM DESERT, CA
Registration Details
- NPI Number
- 1114902392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.648463360967 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT15311 (CA)
Practice Information
- Address
-
73345 HIGHWAY 111 STE 103PALM DESERT, CA, 92260Browse CA providers · Browse ZIP 92260
- Phone
- 7603401812
- Fax
- 7603401852
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PALM DESERT, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DWIGHT J CORNISH | PT | 1811997398 |
| TRACY LYNN CHUCK | MSPT | 1972587079 |
| SKY R GOUDEY | PT | 1609844513 |
| MR. ROBERT LAWRENCE LANGFORD | PHYSICAL THERAPIST | 1609827195 |
| ISABELLA SMITH | PT | 1023056223 |
| JASON M STODELLE | MPT | 1144244922 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.