Brandon, Loretta Anne

Brandon, Loretta Anne is an individual health care provider with primary practice located at 3500 Mt Juliet Rd 205, Mt Juliet TN 37122. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brandon, Loretta Anne can be contacted via phone (615) 773-0660.

Contact Information

Primary practice address
3500 Mt Juliet Rd 205 Mt Juliet TN 37122
Phone: (615) 773-0660
Fax: (615) 773-0663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2722 Tennessee

Profile Details

NPI number 1154335636
LBN Legal business name Brandon, Loretta Anne
Credentials BSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154335636 NPPES
Tennessee MEDICAID 5441513

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