Individual
MARY ANN BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2792 WOODSTOCK RD, LOS ALAMITOS, CA 90720-4441
(562) 431-6004
(562) 431-9854
Mailing address
2792 WOODSTOCK RD, LOS ALAMITOS, CA 90720-4441
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT10052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10052
PT STATE LICENSE
CA
Enumeration date
01/21/2007
Last updated
07/08/2007
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