BRANDON JOHNSON

LAKE CITY, FL
NPI1477982882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24555)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
Mr. BRANDON JOHNSON
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 385-755-3164
Mailing Address
Mr. BRANDON JOHNSON
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number:
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