BRANDE PUCKETT LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1518562669- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 3356 VINEVILLE AVE, MACON, GA, 312042328
- Phone
- (478) 476-9642
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: GA #001605