Individual
JANELLE BRANDEWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
11151 BRANDEWIE RD, FORT LORAMIE, OH 45845-8732
(937) 295-2994
Mailing address
11151 BRANDEWIE RD, FORT LORAMIE, OH 45845-8732
(937) 295-2994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.09663
OH
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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