Individual
BRANDI LYNN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5, POMPANO BEACH, FL 33062
(888) 880-9270
Mailing address
274 NELLE AVE, PANAMA CITY, FL 32404-7700
(954) 299-8167
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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