Individual
BRANDI N ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
63 S. BRADLEY DRIVE, HALIFAX, NC 27839-0435
(252) 583-3382
Mailing address
PO BOX 435, HALIFAX, NC 27839-0435
(252) 583-3382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3026
NC
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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