Individual
BRANDI MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5400
Mailing address
12252 LONGVIEW LAKE CIR, BRADENTON, FL 34211-4965
(941) 320-3538
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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