Individual
MS. NICOLE L BRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 CROSSROAD LANE, FISHERVILLE, VA 22939
(540) 885-8424
Mailing address
83 CROSSROAD LANE, FISHERVILLE, VA 22939
(540) 885-8424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605035
VA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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