Individual
BRANDON EARNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1446 POPLAR ESTATES PKWY, GERMANTOWN, TN 38138-1816
(731) 376-2349
Mailing address
1446 POPLAR ESTATES PKWY, GERMANTOWN, TN 38138-1816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2552
TN
Other
Enumeration date
05/21/2007
Last updated
07/16/2007
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