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Individual

MR. BRANDON NEIL TELESMANIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2900 BRISTOL ST STE A201, COSTA MESA, CA 92626-5949
(714) 540-6792
(714) 540-6794
Mailing address
119 34TH ST UNIT B, NEWPORT BEACH, CA 92663-3009
(559) 260-1059

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37310
CA

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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