Individual
DOUGLAS BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10745 CAMINO CIR, WELLINGTON, FL 33414-9301
(561) 502-5179
Mailing address
10745 CAMINO CIR, WELLINGTON, FL 33414-9301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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