Individual
ALLISON BRAUTIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1755 WITTINGTON PL STE 175, DALLAS, TX 75234-1905
(866) 221-5405
Mailing address
1345 E MAIN ST, RANGELY, CO 81648-2007
(636) 744-3151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013743
CO
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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