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Individual

BRAXTON SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630
Mailing address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301253
CA

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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