Individual
JADA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 GREEN FERN CV, CORDOVA, TN 38018-6699
(901) 679-6309
Mailing address
1047 GREEN FERN CV, CORDOVA, TN 38018-6699
(901) 679-6309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6932
TN
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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