JUSTIN ELIJAH BRANTLEY

TRUMBULL, CT
NPI1073153326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  12545)
Enumeration Date2020-01-14
Last Update Date2020-01-14
Business Address
JUSTIN ELIJAH BRANTLEY DPT
888 WHITE PLAINS ROAD SUITE 209
TRUMBULL, CT 06611
Phone number: 203-459-1133
Mailing Address
JUSTIN ELIJAH BRANTLEY DPT
2408 WHITNEY AVE
HAMDEN, CT 06518-3209
Phone number: 203-626-0160
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