Individual
MS. STACI JILL BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10521 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(267) 236-3630
(215) 613-1033
Mailing address
2001 HAMILTON ST, #417, PHILADELPHIA, PA 19130-4201
(267) 236-3630
(215) 613-1033
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT015040
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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