Individual
BRADEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10822 VICTORY BLVD APT 18, NORTH HOLLYWOOD, CA 91606-3866
(310) 270-1820
Mailing address
10822 VICTORY BLVD APT 18, NORTH HOLLYWOOD, CA 91606-3866
(310) 270-1820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA 6590
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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