Individual
DR. BRANDON GRAHAM ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
719 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-6138
(410) 737-8859
(410) 737-8836
Mailing address
719 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-6138
(410) 737-8859
(410) 737-8836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24155
MD
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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