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Individual

BRANDON M BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
013101
NY
225200000X
Physical Therapy Assistant
Primary
013101
NY

Other

Enumeration date
12/01/2021
Last updated
12/02/2021
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