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Individual

MISS KATE E BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. P.T.

Contact information

Practice address
19259 S GAMA BEACH RD, GRAND RAPIDS, MN 55744-4967
(218) 259-9801
Mailing address
19259 S GAMA BEACH RD, GRAND RAPIDS, MN 55744-4967
(218) 259-9801

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7528
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093909574
MN
Enumeration date
08/28/2007
Last updated
08/16/2010
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