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Mr. Brandon M Willis, PTA
Specialist in Rialto, California
NPI 1336489632

Brandon M Willis is a Specialist based in Rialto, CA. Brandon M Willis practices in Rialto, CA and has the professional credentials of PTA. The NPI Number for Brandon M Willis is 1336489632 and holds a License No. 10037 (California).

The current practice location address for Brandon M Willis is 197 East Cerritos Street, Rialto, CA and can be reached out via phone at 909-820-4973.

Location: 197 East Cerritos Street, Rialto, CA, 92376-3524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336489632
Provider Name
Brandon M Willis
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
197 East Cerritos Street, Rialto, CA, 92376-3524
Phone Number
909-820-4973
Fax Number
Provider Enumeration Date
02/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
197 East Cerritos Street
City
Rialto
State
California
Zip
92376
Phone Number
909-820-4973
Fax Number
person
Provider Business Mailing Address Details
Address
197 East Cerritos Street
City
Rialto
State
California
Zip
92376
Phone Number
909-820-4973
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10037 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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