Doctor Name: | EDGAR R BRANTLEY |
NPI Number: | 1427276625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 019152-1 |
Business Practice Address: | 159 W 1st St Oswego, NY - 131262045 |
Business Phone Number: | 3153429575 |
Business Fax Number: | |
Mailing Address: | 22 Brook St, ONEONTA |
State: | NY |
Postal Code: | 138201444 |
Phone Number: | 6074358145 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 019152-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |