Individual
BRANDON TYLER REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
151 E MINNEHAHA AVE, CLERMONT, FL 34711-3424
(352) 394-2188
Mailing address
462 N TERRY AVE, ORLANDO, FL 32801-1896
(334) 797-1453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29101
FL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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