Individual
CLAIRE ELLEN BRANAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
Mailing address
4602 CUMBERLAND RD # RE, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05758
KS
225100000X
Physical Therapist
Primary
P18139
NC
Other
Enumeration date
08/16/2017
Last updated
10/29/2018
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