MEDICARE: MRS. CYNTHIA D. BRAUNSCHWEIG P.T., CSCS

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
1	174400000X	Specialist	4472-024	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1477621142	OTHER		NPPES

General Provider Information

NPI Number	:	1477621142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA D. BRAUNSCHWEIG P.T., CSCS

Provider Business Mailing Address
First Line	:	3970 N OAKLAND AVE
Second Line	:	SUITE 703
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2265
Country	:	US
Telephone Number	:	414-963-6330
Fax Number	:

Provider Business Practice Location Address
First Line	:	3970 N OAKLAND AVE
Second Line	:	SUITE 703
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2265
Country	:	US
Telephone Number	:	414-963-6330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	04/17/2013

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