Most Relevant Information
Provider Data
| NPI Number: | 1003585514 |
| Provider Name: | STEPHANIE BRANNON PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 300746 |
Most Important Dates
| Enumeration Date: | 09/08/2021 |
| Last Updated: | 09/08/2021 |
Provider Practice Location
3480 BUSKIRK AVE STE 150
PLEASANT HILL
CA
945234387
Practice Location Phone/Fax
| Phone: | 9259473224 |
| Fax: |
Provider Mailing Location
3527 MT DIABLO BLVD # 186
LAFAYETTE
CA
945493815
Provider Mailing Phone/Fax
| Phone: | 9257880488 |
| Fax: |