BRANDAN LEE HOSTAR

COLUMBIA, SC
NPI1457170110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
BRANDAN LEE HOSTAR PTA
3800 FOREST DR STE B101
COLUMBIA, SC 29204-4146
Phone number: 803-764-2363
Mailing Address
BRANDAN LEE HOSTAR PTA
150 HIGHLAND CENTER DR STE B
COLUMBIA, SC 29203-9247
Phone number: 803-699-9775