Individual
MACARA MONROE BRACHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29465 FOUNTAINWOOD ST, AGOURA HILLS, CA 91301-4110
(747) 888-7371
Mailing address
29465 FOUNTAINWOOD ST, AGOURA HILLS, CA 91301-4110
(747) 888-7371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5580
CA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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