Staci A Braden, PT

NPI #1073676102 in Grapevine, Texas

Provider Information

NPI Number: 1073676102
Entity Type: Individual
Name: Staci A Braden, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 19, 2006
Last Updated: Nov 16, 2010

Practice Location

Address: 2421 IRA E WOODS AVE
Address 2: SUITE 101
City: Grapevine
State: Texas
ZIP Code: 76051-3906
Phone: (817) 410-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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