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Individual
MRS. TANYA JO BRAET
Active
Individual
MRS. TANYA JO BRAET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01771
IA
225X00000X
Occupational Therapist
056.007833
IL
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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