BRANDON JACOB BUTLER

MEADVILLE, MS
NPI1023201761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  LPTA4277)
Enumeration Date2007-08-27
Last Update Date2007-08-27
Business Address
BRANDON JACOB BUTLER LPTA
121 ROUND TOP HILL RD SE
MEADVILLE, MS 39653-8140
Phone number: 601-384-0288
Mailing Address
BRANDON JACOB BUTLER LPTA
121 ROUND TOP HILL RD SE
MEADVILLE, MS 39653-8140
Phone number:
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