Individual
DESTINEE ELIZABETH BRAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2555 HIGHWAY 78 E, JASPER, AL 35501-3433
(205) 385-7919
(205) 803-6458
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10102
AL
Other
Enumeration date
10/12/2020
Last updated
11/11/2020
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