Individual
MRS. GAIL N BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3890 HAMMOCK RD, MIMS, FL 32754-5586
(321) 269-8027
Mailing address
3890 HAMMOCK RD, MIMS, FL 32754-5586
(321) 269-8027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2150
FL
Other
Enumeration date
01/14/2012
Last updated
01/14/2012
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