Individual
BRANDI WHITE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2015 HIGHPOINT DRIVE, BRANDON, MS 39042
(601) 824-8814
(601) 824-8816
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3796
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06072718
—
MS
Enumeration date
06/26/2006
Last updated
05/25/2011
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