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Individual

BRIANNE EMILY BRACKER-COBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
936 E GREEN ST, SUITE 106, PASADENA, CA 91106-2900
(626) 590-3026
Mailing address
1907 WAGNER ST, PASADENA, CA 91107-2344
(626) 590-3026

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11438879
CA
173C00000X
Reflexologist
11438879
CA

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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