Individual
BRANDON MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-4898
(619) 532-6400
Mailing address
3920 INGRAHAM ST APT 11-304, SAN DIEGO, CA 92109-5916
(818) 825-3813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302073
CA
Other
Enumeration date
05/13/2022
Last updated
06/18/2024
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