Individual
BRANDY OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N MAITLAND AVE, MAITLAND, FL 32751-4423
(407) 539-2488
(407) 539-2408
Mailing address
630 N MAITLAND AVE, MAITLAND, FL 32751-4423
(407) 539-2488
(407) 539-2408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20045
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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