Tom Brandt

NPI #1124658265 in San Bruno, California

Provider Information

NPI Number: 1124658265
Entity Type: Individual
Name: Tom Brandt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 801 TRAEGER AVE
City: San Bruno
State: California
ZIP Code: 94066-3048
Phone: (650) 742-2388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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