Individual
MADISON BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 PEARL ST, CADILLAC, MI 49601-2699
(010) 123-1775
Mailing address
8075 W LOTAN RD, LAKE CITY, MI 48850
(989) 287-4043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502007993
MI
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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