Individual
BENJAMIN SCOTT BRANDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12413 JUDSON RD STE 100, LIVE OAK, TX 78233-3262
(210) 314-1071
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1386198
TX
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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