Benjamin Scott Brandvig

NPI #1376311985 in Live Oak, Texas

Provider Information

NPI Number: 1376311985
Entity Type: Individual
Name: Benjamin Scott Brandvig
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 13, 2023
Last Updated: Dec 13, 2023

Practice Location

Address: 12413 JUDSON RD STE 100
City: Live Oak
State: Texas
ZIP Code: 78233-3262
Phone: (210) 314-1071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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