Individual
BRANDON WESLEY MCCAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21150 BISCAYNE BLVD STE 406, AVENTURA, FL 33180-1250
(305) 935-9599
Mailing address
437 LIMERICK DR, LYNCHBURG, OH 45142-9279
(937) 728-1502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41676
FL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/18/2018
Last updated
06/10/2024
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