Individual
MICHELLE BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
PO BOX 967, DESTIN, FL 32540-0967
(850) 420-6744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34416
FL
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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