Individual
BRANDON KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 ALLENDALE RD STE 205, KING OF PRUSSIA, PA 19406-1495
(610) 850-0850
(610) 850-0851
Mailing address
PO BOX 411195, BOSTON, MA 02241-1195
(914) 265-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030882
PA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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