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SARAH BRADDOCK DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437522760

Individual Registrant:
 SARAH  BRADDOCK DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
105 MARINER HEALTH WAY SUITE 213 SAINT AUGUSTINE, FL 32086-3251 US
Tel: 904-217-4259  Fax: 904-217-4251

Contact information for business:
1 ORTHOPAEDIC PL  ST AUGUSTINE, FL 32086-4202 US
Tel: 904-512-7818  Fax: 904-825-2490

Registration Information:
NPI: 1437522760
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT 30736

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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