Individual
MICHAEL BRANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4703 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9635
(817) 456-1355
Mailing address
4319 CABELL DR, DALLAS, TX 75204-3634
(817) 456-1355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1126613
TX
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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