Individual
BRANDON RICHARD WALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DHSC
Contact information
Practice address
5265 ROCKROSE LN BLDG E38, ALLENTOWN, PA 18104-8250
(267) 797-0240
Mailing address
5265 ROCKROSE LN BLDG E38, ALLENTOWN, PA 18104-8250
(267) 797-0240
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/27/2023
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