Individual
CARL TIMOTHY BRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2121 MYRTLE AVE., EUREKA, CA 95501
(707) 442-6463
(707) 442-5427
Mailing address
2121 MYRTLE AVE, EUREKA, CA 95501
(707) 442-6463
(707) 442-5427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22790
CA
Other
Enumeration date
11/27/2006
Last updated
12/28/2010
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