Individual
BRANDON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
731 POLO RD, APT 817, COLUMBIA, SC 29223-4462
(803) 419-0431
Mailing address
811 POLO RD, APT 817, COLUMBIA, SC 29223-4423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2601
SC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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