BENJAMIN SCOTT BRANDVIG

LIVE OAK, TX
NPI1376311985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1386198)
Enumeration Date2023-12-13
Last Update Date2023-12-13
Business Address
BENJAMIN SCOTT BRANDVIG
12413 JUDSON RD STE 100
LIVE OAK, TX 78233-3262
Phone number: 210-314-1071
Mailing Address
BENJAMIN SCOTT BRANDVIG
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039