Individual
BRAEDEN NELSON ST.PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
650 BIRCH ST, BALDWIN, WI 54002-9348
(715) 684-3231
Mailing address
3350 HALSEY ST, EAU CLAIRE, WI 54701-7201
(715) 864-9288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3154-19
WI
Other
Enumeration date
03/12/2021
Last updated
07/06/2021
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