Brandon Bromberg, LMT

NPI #1902319932 in Fairhope, Alabama

Provider Information

NPI Number: 1902319932
Entity Type: Individual
Name: Brandon Bromberg, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 13, 2017
Last Updated: Nov 13, 2017

Practice Location

Address: 901 GAYFER AVE APT 1314
City: Fairhope
State: Alabama
ZIP Code: 36532-3906
Phone: (251) 895-4187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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