Individual
MRS. DANA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1350 CENTRAL AVE, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Mailing address
1350 CENTRAL AVE, STE 105, LOS ALAMOS, NM 87544-6217
(505) 662-3384
(505) 661-0085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4554
NM
Other
Enumeration date
01/08/2015
Last updated
02/20/2017
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