Individual
BRANDON ELIJAH BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4980 BOILING BROOK PKWY, NORTH BETHESDA, MD 20852-2300
(240) 541-5241
Mailing address
4704 25TH ST, MOUNT RAINIER, MD 20712-1228
(301) 828-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30325
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2024
Last updated
05/13/2025
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