Provider Demographics
NPI:1013898154
Name:BRANNEN, SYDNEY (DPT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:BRANNEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 CHURCHMANS RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1943
Mailing Address - Country:US
Mailing Address - Phone:302-544-5055
Mailing Address - Fax:
Practice Address - Street 1:630 CHURCHMANS RD STE 100A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1943
Practice Address - Country:US
Practice Address - Phone:302-544-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0015103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist