Individual
DR. BRANDON LEE HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
568 FRANKLIN ST, CLYMER, PA 15728-1183
(412) 719-4166
Mailing address
1139 TANOMA RD, INDIANA, PA 15701-7000
(412) 719-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016695
PA
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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