Individual
BRANDON MICHAEL JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
165 S MEMORIAL HWY, SUITE 2C, TRUCKSVILLE, PA 18708-1418
(570) 575-6064
Mailing address
165 S MEMORIAL HWY, SUITE 2C, TRUCKSVILLE, PA 18708-1418
(570) 575-6064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0002506
DE
225100000X
Physical Therapist
Primary
PT020216
PA
Other
Enumeration date
08/23/2009
Last updated
09/08/2009
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