Provider Demographics
NPI:1336436351
Name:FREEMAN, BRANDON H (DPT)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:H
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 CONGRESS ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2715
Mailing Address - Country:US
Mailing Address - Phone:207-699-5600
Mailing Address - Fax:207-699-5588
Practice Address - Street 1:959 CONGRESS ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2715
Practice Address - Country:US
Practice Address - Phone:207-699-5600
Practice Address - Fax:207-699-5588
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist