NPI 1073153326

Justin Elijah Brantley, DPT

Practitioner Physical Therapist Trumbull, CT

Practice location

Address: 888 White Plains Road Suite 209, Trumbull, CT 06611
Phone: (203) 459-1133
Fax: (203) 466-8527
Mailing address: 2408 Whitney Ave, Hamden, CT 06518-3209

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12545 (CT)

Other Physical Therapist providers in Connecticut →

Registry record

NPI: 1073153326
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2020
Record last updated: 14 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.