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NPI Code Detail

MEDICARE: BARRIE ELIZABETH BRAEM P.T.A.

MEDICARE: BARRIE ELIZABETH BRAEM P.T.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA2625LA

General Provider Information

NPI Number : 1326360835
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRIE ELIZABETH BRAEM P.T.A.
Provider Business Mailing Address
First Line : 2530 CHELSEA DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-3820
Country : US
Telephone Number : 504-394-0202
Fax Number :
Provider Business Practice Location Address
First Line : 4201 WOODLAND DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-7339
Country : US
Telephone Number : 504-393-5666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2010
Last Update Date : 02/24/2010

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