Individual
MR. ROSS JOSEPH BRAKEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2300 KINSALE POINT, KENNESAW, GA 30152-6756
(678) 469-3007
(404) 350-9405
Mailing address
2300 KINSALE POINT, KENNESAW, GA 30152-6756
(678) 469-3007
(404) 350-9405
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
002536
GA
2251S0007X
Sports Physical Therapist
Primary
002536
GA
Other
Enumeration date
01/17/2006
Last updated
06/13/2024
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