BRANDON TAYLOR LEAL

EAGLE, ID
NPI1699567743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  6171063)
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
BRANDON TAYLOR LEAL DPT
645 E STATE ST STE 101
EAGLE, ID 83616-5915
Phone number: 208-939-9594
Mailing Address
BRANDON TAYLOR LEAL DPT
1673 W SHORELINE DR STE 230
BOISE, ID 83702-6752
Phone number: 208-939-9594