Individual
AMY BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N ROHLWING RD, PALATINE, IL 60074-3777
(847) 755-1790
Mailing address
3 LAKEBREEZE CT, LAKE ZURICH, IL 60047-2243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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