| Dr Brandon Dale, PT, DPT | |
|
116 Applewood Dr, Ona, WV 25545-9581 | |
| (276) 970-6076 | |
| Not Available |
| Full Name | Dr Brandon Dale |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 116 Applewood Dr, Ona, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003306697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT003963 (West Virginia) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Dale, PT, DPT 2523 Yates Crossing Rd, Milton, WV 25541-8509 Ph: (276) 970-6076 | Dr Brandon Dale, PT, DPT 116 Applewood Dr, Ona, WV 25545-9581 Ph: (276) 970-6076 |
Mary Waddell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3198 Us Route 60 Ste A, Ona, WV 25545 Phone: 304-733-9430 | |
Dr. Richard Campbell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3198 Us-60, Suite A, Ona, WV 25545 Phone: 304-733-9430 | |
Dr. Bethany Ann Poore, DPT, ATC, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Weatherholt Dr, Ona, WV 25545 Phone: 304-390-5705 |