Individual
BRANDON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
510 TILLMAN ST STE 104, MEMPHIS, TN 38112-2938
(901) 202-0735
Mailing address
1410 RIVER BRIDGE CIR APT 103, MEMPHIS, TN 38103-7915
(601) 527-2894
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8318
TN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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