Individual
JUSTIN ELIJAH BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
888 WHITE PLAINS ROAD SUITE 209, TRUMBULL, CT 06611
(203) 459-1133
(203) 466-8527
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12545
CT
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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