Individual
BRANDON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 REVOLUTIONARY BLVD, DOVER, DE 19901-8871
(443) 207-0355
Mailing address
120 REVOLUTIONARY BLVD, DOVER, DE 19901-8871
(443) 207-0355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001067
DE
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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