Individual
DR. BRANDAN CHARLES CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
8239 W HILLVIEW DR, MEQUON, WI 53097-3205
(541) 852-3268
Mailing address
8239 W HILLVIEW DR, MEQUON, WI 53097-3205
(541) 852-3268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12893
WI
Other
Enumeration date
06/01/2009
Last updated
07/22/2022
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