Most Relevant Information
Provider Data
| NPI Number: | 1003566951 |
| Provider Name: | BRANDON KENT MARET PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 49605 |
Most Important Dates
| Enumeration Date: | 03/24/2022 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
800 LANTERN CREST WAY
SANTEE
CA
920714646
Practice Location Phone/Fax
| Phone: | 6192588886 |
| Fax: |
Provider Mailing Location
4656 1/2 GREENE ST
SAN DIEGO
CA
921071420
Provider Mailing Phone/Fax
| Phone: | 9083776795 |
| Fax: |