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Individual

BRANDY N WHALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
800 E REELFOOT AVE, UNION CITY, TN 38261-5874
(731) 885-1077
(731) 885-4728
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8695
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0446631
TN
Enumeration date
07/14/2010
Last updated
07/14/2010
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