Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT00007696 | WA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT00007696 | WA |
NPI | 1083726780 |
---|---|
Provider Name | Sharon L. Brauns |
First Address | Seattle, WA 98124-0366 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |