Individual
SOPHIA BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 OCEAN BLVD STE 302, ST SIMONS ISLAND, GA 31522-4842
(912) 602-1625
Mailing address
507 OCEAN BLVD STE 302, ST SIMONS ISLAND, GA 31522-4842
(912) 602-1625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014110
GA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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