Provider Demographics
NPI:1174254890
Name:BRAUN, DANIEL (PT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BRAUN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24077 COUNTRY LIVING RD STE 8
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-3188
Mailing Address - Country:US
Mailing Address - Phone:302-648-5060
Mailing Address - Fax:302-316-3049
Practice Address - Street 1:24077 COUNTRY LIVING RD STE 8
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-3188
Practice Address - Country:US
Practice Address - Phone:302-648-5060
Practice Address - Fax:302-316-3049
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist