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Individual
PATRICK R BRAYALL
Active
Individual
PATRICK R BRAYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT5111
ME
225100000X
Physical Therapist
Primary
0015948
CO
Other
Enumeration date
05/18/2018
Last updated
02/11/2019
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