Individual
BRANDON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3520 N CROSSING CIR, VALDOSTA, GA 31602-1067
(229) 242-8394
Mailing address
4203 SPRING BROOK CIR, VALDOSTA, GA 31602-6751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004398
GA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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