Janet Pearl Brautigam PTA

NPI 1083958995 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1083958995
Gender Female
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2631 MOUNTAIN VIEW AVE
LONGMONT CO, 80503-2308, US
Phone (720) 938-4688
Fax
Business Location
2631 MOUNTAIN VIEW AVE
LONGMONT CO, 80503-2308, US
Phone (720) 938-4688
Fax
Toxanomy
Taxonomy Code 225200000X
License State Colorado
License Number 0012236
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According to our database, Ms. Janet Pearl Brautigam PTA NPI is 1083958995, taxonomy code is 225200000X and license number is 0012236, license state is located at Colorado. Janet Pearl Brautigam PTA physically located at 2631 Mountain View Ave, Longmont CO, 80503-2308. NPI Number Janet Pearl Brautigam PTA has the Individual type.

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1083958995 NPI number is provided on an as is basis without warranty of any kind. 1083958995 is maintained by the National Plan & Provider Enumeration System. The contents of Janet Pearl Brautigam PTA are for informational purposes only.