Individual
MR. BRANDON M LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
4625 SAINT CROIX LN APT 1134, APT. 1134, NAPLES, FL 34109-3536
(617) 780-6953
Mailing address
2550 SE PETIT LN, PORT SAINT LUCIE, FL 34952-5424
(772) 335-5828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22730
FL
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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