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1700597861
BRANDON TODD SIMON
LAFAYETTE, LA
NPI
1700597861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11400)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
BRANDON TODD SIMON DPT
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
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Mailing Address
BRANDON TODD SIMON DPT
PO BOX 1410
SCOTT, LA 70583-1410
Phone number: 337-703-3274
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