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Individual
MRS. SHELLEY SMITH BRAHLER
Active
Individual
MRS. SHELLEY SMITH BRAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0198861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000491879002
BLUE SHIELD
—
05
—
02302303
—
NY
01
—
10031223
CDPHP
—
01
—
43225
MVP
—
01
—
6699246
GHI
—
01
—
Q44751
BLUE CROSS
—
Enumeration date
04/11/2006
Last updated
11/14/2007
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