Individual
BRANDON BLANDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Mailing address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25648
MD
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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