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1093497471
BRANDON LEE PECK
SAN ANTONIO, TX
NPI
1093497471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2177205)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
BRANDON LEE PECK PTA
630 W WOODLAWN AVE
SAN ANTONIO, TX 78212-3348
Phone number: 210-736-3177
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Mailing Address
BRANDON LEE PECK PTA
9861 VICTORIA LN
BOERNE, TX 78006-5140
Phone number: 210-627-5084
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