Individual
BRANDON LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1727 2ND ST STE 2, SARASOTA, FL 34236-8524
(941) 951-0170
(941) 993-1088
Mailing address
1727 2ND ST STE 2, SARASOTA, FL 34236-8524
(941) 951-0170
(941) 993-1088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA28352
STATE LICENSE
FL
Enumeration date
08/28/2019
Last updated
08/28/2019
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