Individual
JALYN BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Mailing address
3915 WILLIAM DR, SAINT CHARLES, MO 63304-6857
(620) 203-8397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025018253
MO
Other
Enumeration date
03/24/2025
Last updated
09/18/2025
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