Provider Demographics
NPI:1922427459
Name:BRANT, YELENA (PT)
Entity Type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:BRANT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 MAYFIELD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2207
Mailing Address - Country:US
Mailing Address - Phone:440-312-4565
Mailing Address - Fax:440-312-6928
Practice Address - Street 1:6801 MAYFIELD RD STE 150
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2207
Practice Address - Country:US
Practice Address - Phone:440-312-4565
Practice Address - Fax:440-312-6928
Is Sole Proprietor?:No
Enumeration Date:2014-04-13
Last Update Date:2014-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT. 78342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic