Individual
MISS BRANDI WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8451 US 301 S, RIVERVIEW, FL 33578-5450
(866) 450-9927
Mailing address
8451 US 301 S, RIVERVIEW, FL 33578-5450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24561
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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