Stephanie Brannon, PT, DPT

Individual provider Active NPI Physical Therapist · Pleasant Hill, CA

NPI 1003585514 · NPPES record last updated Sep 8, 2021

Key facts

NPI
1003585514
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
300746 (CA)
Practice address
3480 Buskirk Ave Ste 150
Pleasant Hill, CA 94523-4387
Phone
(925) 947-3224
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
300746CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300746 CA Yes

Addresses

Primary practice location

3480 Buskirk Ave Ste 150
Pleasant Hill, CA 94523-4387

Mailing address

3527 Mt Diablo Blvd # 186
Lafayette, CA 94549-3815
Phone (925) 788-0488

Other providers in Pleasant Hill, CA

All providers in Pleasant Hill, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.