BRANDON HENRY LY

PHILADELPHIA, PA
NPI1417573403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: PA  SL013102)
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
BRANDON HENRY LY
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
Mailing Address
BRANDON HENRY LY
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960