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SARAH BRADDOCK DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1437522760
Individual Registrant: SARAH BRADDOCK DPT
Gender: F
Not Sole Proprietor
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
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
Tel: 904-512-7818 Fax: 904-825-2490
Registration Information:
NPI: 1437522760
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT 30736 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
