Individual
LAURA KATHERINE BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
470 LENFANT PLZ SW STE 602, WASHINGTON, DC 20024-9996
(202) 863-0430
Mailing address
146 BASKINS RD, LAKELAND, GA 31635-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211898
VA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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