David Rudolph Brandt
Physical Therapist in San Mateo, CA. Individual provider (NPI-1).
NPI number1194935239
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194935239
- Entity type
- Individual (NPI-1)
- Name
- David Rudolph Brandt
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 19364 | CA | Yes |
Practice location
606 30th AveSan Mateo, CA 94403-3206
Phone 650-356-0371
Mailing address
606 30th AveSan Mateo, CA 94403-3206
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All 82 Physical Therapist providers in San Mateo · All 4,655 providers in San Mateo
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