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BRANDI JEAN DOGODA PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013280007

Individual Registrant:
 BRANDI JEAN DOGODA PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
626 N TYNDALL PKWY  CALLAWAY, FL 32404-6132 US
Tel: 850-871-3836  Fax: --

Contact information for business:
7208 LAKE SUZZANNE LN  PANAMA CITY, FL 32404-3410 US
Tel: 850-867-5737  Fax: --

Registration Information:
NPI: 1013280007
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA20798

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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