Individual
JAELYN JAE BRAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3485 WINDSOR AVE, DUBUQUE, IA 52001-1329
(608) 822-5090
Mailing address
310 EDITH ST, DUBUQUE, IA 52001-1228
(608) 822-5090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2992-19
WI
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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