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Individual

DAVID LEE BRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
(321) 768-6119
(321) 768-6119
Mailing address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
(321) 768-6119
(321) 768-6119

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14038
FL

Other

Enumeration date
02/27/2009
Last updated
02/27/2009
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