Individual
LAURA M BRAUN
Active
Individual
LAURA M BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
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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