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Individual

LAURA M BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
1707 W OAK, SUITE D, BOZEMAN, MT 59715
(406) 587-8446
(406) 587-0898
Mailing address
1707 W OAK ST., SUITE D, BOZEMAN, MT 59715
(406) 587-8446
(406) 587-0898

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1559
MT
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3400153
MT
01
61048
BCBS
MT
01
MSF1220985
STATE FUND
MT
Enumeration date
02/01/2007
Last updated
10/29/2010
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