Healthcare Provider Details

I. General information

NPI: 1992730535
Provider Name (Legal Business Name): JANICE W BRAUNSTEIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W PEACHTREE ST NW STE 180 ATLANTA
ATLANTA GA
30308-3616
US

IV. Provider business mailing address

1266 W PACES FERRY RD NW # 676
ATLANTA GA
30327-2306
US

V. Phone/Fax

Practice location:
  • Phone: 404-607-1741
  • Fax: 404-607-0906
Mailing address:
  • Phone: 404-607-1741
  • Fax: 770-937-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number000912
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: