Individual
BRANDI JEAN DOGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
626 N TYNDALL PKWY, CALLAWAY, FL 32404-6132
(850) 871-3836
Mailing address
7208 LAKE SUZZANNE LN, PANAMA CITY, FL 32404-3410
(850) 867-5737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20798
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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