Individual
JACOB BRAUNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10474 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3023
(623) 219-4475
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-31414
AZ
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
11/01/2024
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