Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PTL.0007679 | CO |
NPI | 1437378387 |
---|---|
Provider Name | Stephanie Browning Braun |
First Address | Louisville, CO 80027-1560 |
Second Address | Lafayette, CO 80026-2752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 15/07/2015 |