Individual
BRANDON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
11500 FENWAY SOUTH DR, FORT MYERS, FL 33913-8671
(857) 366-0797
Mailing address
11500 FENWAY SOUTH DR, FORT MYERS, FL 33913-8671
(857) 366-0797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2279
FL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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