Individual
BRIAN M DAIGNAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6732 64TH PL E, BRADENTON, FL 34203-8044
(941) 587-1989
Mailing address
6732 64TH PL E, BRADENTON, FL 34203-8044
(941) 587-1989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT15448
FL
363A00000X
Physician Assistant
Primary
PA91115554
FL
Other
Enumeration date
02/24/2021
Last updated
02/09/2022
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