Individual
MR. BRANDON SCOTT SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3150 N 7TH ST, TERRE HAUTE, IN 47804-1034
(812) 466-5217
Mailing address
413 OPAL ST, CASEY, IL 62420-1427
(618) 544-1267
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005006
IL
Other
Enumeration date
09/24/2012
Last updated
09/23/2019
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