Individual
CAILEY BRAZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-9001
(843) 235-9393
Mailing address
1025 OLDHAM CT, KINGSPORT, TN 37660-4798
(423) 288-5797
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4638
SC
225200000X
Physical Therapy Assistant
Primary
4638
SC
Other
Enumeration date
07/12/2022
Last updated
10/25/2024
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