Individual
NOAH CHARLES BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2460 OKA ST, KILAUEA, HI 96754-5308
(808) 828-0030
(808) 828-0119
Mailing address
208 LAMONT NORWOOD RD, PITTSBORO, NC 27312-7181
(808) 652-9140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT3794
HI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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