Organization
BRAATEN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE DAWN LANE (ADMINISTRATIVE ASSISTANT)
(563) 327-0132
Entity
Organization
Contact information
Practice address
5403 VICTORIA AVE, SUITE 20, DAVENPORT, IA 52807-3925
(563) 327-0132
(563) 359-5642
Mailing address
PO BOX 3488, DAVENPORT, IA 52808-3488
(563) 327-0132
(563) 359-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
Other
Enumeration date
02/15/2006
Last updated
05/01/2009
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