NPI 1154615086

Brenda Joan Brannon, LPTA

Practitioner Physical Disabilities Residential Treatment Facility Winnfield, LA

Practice location

Address: 116 Dogwood Dr, Winnfield, LA 71483-5000
Phone: (409) 594-4912
Fax: (409) 594-4912

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 20558960 (TX)

Other Residential Treatment Facility, Physical Disabilities providers in Louisiana →

Registry record

NPI: 1154615086
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2011
Record last updated: 15 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.