| Brandon Michael Defeo, DPT | |
|
1499 Fair Rd, Statesboro, GA 30458-1683 | |
| (912) 486-1680 | |
| (912) 486-1680 |
| Full Name | Brandon Michael Defeo |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1499 Fair Rd, Statesboro, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124331871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT010013 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Michael Defeo, DPT 128 Stonebrook Way, Statesboro, GA 30458-0286 Ph: (912) 515-5821 | Brandon Michael Defeo, DPT 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1680 |
Miss Brandy Anne Petty, M.S., ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460 Phone: 912-486-7581 Fax: 912-486-7690 |