Individual
BRANDON WAYNELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3864 SWEETEN CREEK RD, ARDEN, NC 28704-3136
(828) 681-0904
Mailing address
40 PINE RIDGE TRL, ARDEN, NC 28704-7703
(704) 533-4776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5721
NC
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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