Individual
BRANDAN LEE HOSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3800 FOREST DR STE B101, COLUMBIA, SC 29204-4146
(803) 764-2363
(803) 550-9389
Mailing address
150 HIGHLAND CENTER DR STE B, COLUMBIA, SC 29203-9247
(803) 699-9775
(803) 699-8099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
SC
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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