National Provider Identifier
Brandon McQueen, PTA
Brandon McQueen, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Jamestown, NY and a listed phone number of (716) 338-0668.
Profile Overview
- NPI
- 1194580019
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- February 20, 2024
- Last Updated
- February 20, 2024
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Phone: (716) 338-0668
Mailing Address
- 1 Quaker Court Cir
- Warren, PA 16365-4125
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1194580019
- Entity Type
- Individual
- Last Name
- McQueen
- First Name
- Brandon
- Credential
- PTA
- Mailing Street Address
- 1 Quaker Court Cir
- Mailing City
- Warren
- Mailing State
- PA
- Mailing ZIP Code
- 16365-4125
- Mailing Country
- US
- Mailing Phone
- (440) 915-5968
- Practice Street Address
- 774 Fairmount Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2609
- Practice Country
- US
- Practice Phone
- (716) 338-0668
- Enumeration Date
- February 20, 2024
- Last Updated
- February 20, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)