Individual
BRANDON PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
60160 BODNAR BLVD, MISHAWAKA, IN 46544-9338
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05014348A
STATE LICENSE
IN
Enumeration date
09/07/2021
Last updated
07/18/2024
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