BRANDON PHILLIP GREEN

ARTESIA, CA
NPI1497464804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: CA  303159)
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
BRANDON PHILLIP GREEN
17906 PIONEER BLVD UNIT 101-102
ARTESIA, CA 90701-3972
Phone number: 562-865-2222
Mailing Address
BRANDON PHILLIP GREEN
28520 WOOD CANYON DR APT 67
ALISO VIEJO, CA 92656-5270
Phone number: 510-828-7183