Individual
MRS. SIMONNE BRAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6 HICKORY LN, BROOKLYN, CT 06234-1554
(860) 779-1954
Mailing address
6 HICKORY LN, BROOKLYN, CT 06234-1554
(860) 779-1954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000211
CT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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