Individual provider · NPI-1
Jeanne Brandon, P.T.
Physical Therapist · Galveston, TX
NPI number1154581676
StatusActive
Last updated in NPPESJun 10, 2008
Details
- NPI
- 1154581676
- Entity type
- Individual (NPI-1)
- Name
- Jeanne Brandon
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2008
- Last updated
- Jun 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 08049728 | TX | Yes |
Practice location
6444 Central City BlvdGalveston, TX 77551-2058
Phone 409-741-8472
Mailing address
109 Shult Dr# 206
Columbus, TX 78934-3009
Phone 979-732-8280 · Fax 979-732-9740
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