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Individual

BRAXTIN LEE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 16TH AVE SE, MINOT, ND 58701-6781
(888) 223-4287
Mailing address
713 RIVER LANDING WAY, OLD HICKORY, TN 37138-3832
(615) 506-0645

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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