Individual
BRANDON FLEENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 255-5263
Mailing address
PO BOX 2032, OCEANA, WV 24870-2032
(304) 673-1089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000714
WV
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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