Individual
BRANDON ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26830 RIDGEBROOK DR UNIT 102, WESLEY CHAPEL, FL 33544-6464
(813) 345-4915
Mailing address
21756 STATE ROAD 54 STE 102, LUTZ, FL 33549-2905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42264
FL
Other
Enumeration date
10/17/2024
Last updated
01/06/2025
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