Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 06002043A | IN |
NPI | 1003149428 |
---|---|
Provider Name | David Neil Bratton |
First Address | Avon, IN 46123-8361 |
Second Address | Avon, IN 46123-8361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2009 |
Last Update Date | 16/09/2009 |