Individual provider · Type 1 NPI
Brenda Joan Brannon, LPTA
Physical Disabilities Residential Treatment Facility · Winnfield, LA
NPI number
1154615086
Active
Practice location
116 Dogwood Dr
Winnfield, LA 71483-5000
Fax (409) 594-4912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 20558960 (TX) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1154615086
Brenda Joan Brannon, LPTA's National Provider Identifier is 1154615086, issued on Jun 8, 2011. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Winnfield, LA. The record was last updated on Oct 15, 2015.