Provider Demographics
NPI:1255331930
Name:BRAUN, ERIC VINCENT (MPT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:VINCENT
Last Name:BRAUN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-2501
Mailing Address - Country:US
Mailing Address - Phone:484-984-0226
Mailing Address - Fax:
Practice Address - Street 1:341 10TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-3806
Practice Address - Country:US
Practice Address - Phone:610-792-8100
Practice Address - Fax:610-792-1535
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-009117 L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
073765QYQMedicare ID - Type Unspecified