Individual
BRANDON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15751 SAN CARLOS BLVD STE 4, FORT MYERS, FL 33908-3315
(239) 337-2739
Mailing address
3419 FORUM BLVD APT 325, FORT MYERS, FL 33905-6005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40632
FL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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