Individual
BRANDON CORY VANDERBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
363 TOWNHOUSE, HERSHEY, PA 17033-2385
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69938
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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