Individual
MRS. BRAXTON LELIA MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6 S MADDER DR, MECHANICSBURG, PA 17050-7954
(717) 620-8109
(717) 918-2020
Mailing address
37 SUNFIRE AVE, CAMP HILL, PA 17011-1019
(717) 731-5442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1001267
PA
Other
Enumeration date
05/07/2010
Last updated
05/11/2010
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