Benjamin Tyler Brandt Valid NPI

Individual provider · Physical Therapist · Harrah, OK

NPI

1114397312

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

5233 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2015-09-30

Last updated

2016-09-28