Individual provider · Type 1 NPI

Staci Jill Braverman, PHYSICAL THERAPIST

Pediatric Physical Therapist · Philadelphia, PA

NPI number 1174644777 Active

Practice location

10521 Drummond Rd
Philadelphia, PA 19154-3807

Call (267) 236-3630 Map

Fax (215) 613-1033

Mailing address

2001 Hamilton St, #417
Philadelphia, PA 19130-4201

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT015040 (PA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1174644777

Staci Jill Braverman, PHYSICAL THERAPIST's National Provider Identifier is 1174644777, issued on Apr 2, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.