Individual
MR. RICHARD T. BRANTLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1 CHOCTAW WAY, ATTN: PHYSICAL THERAPY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7119
Mailing address
1 CHOCTAW WAY, ATTN: PHYSICAL THERAPY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007789
GA
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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