Individual
MRS. ALICIA BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6606 LINCOLN ST, BONNERS FERRY, ID 83805-8513
(208) 290-7088
Mailing address
6694 PINE ST., BONNERS FERRY, ID 83805-8513
(208) 267-7869
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00011216
WA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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