BREANNA BRACERO PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1417493727- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 4729 STAMM LN UNIT 5, NAMPA, ID, 836875761
- Phone
- (307) 760-1264
Specialties & Taxonomies
Physical Therapy Assistant
License: WY #0824
Physical Therapy Assistant
License: OR #09433
Physical Therapy Assistant
Primary License: ID #9155