Individual
TRACY ALLISON BRAUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 934-5000
Mailing address
14085 TROUVILLE DR, TAMPA, FL 33624-6963
(813) 789-7196
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119004507
VA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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