Individual
ALEX BRAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
1326 SANDERLING DR, FAIRFIELD, CA 94533-2514
(707) 386-7985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT295775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT295775
—
CA
Enumeration date
11/26/2018
Last updated
01/03/2022
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