Most Relevant Information
Provider Data
| NPI Number: | 1003699976 |
| Provider Name: | BRANDON EDWARDS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT40632 |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
15751 SAN CARLOS BLVD STE 4
FORT MYERS
FL
339083315
Practice Location Phone/Fax
| Phone: | 2393372739 |
| Fax: |
Provider Mailing Location
3419 FORUM BLVD APT 325
FORT MYERS
FL
339056005
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |