Provider Demographics
NPI:1932129061
Name:BRAFMANN, HARRY MICHAEL (PT)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:MICHAEL
Last Name:BRAFMANN
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 1:7925 LONG MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3023
Mailing Address - Country:US
Mailing Address - Phone:410-486-1855
Mailing Address - Fax:410-484-5903
Practice Address - Street 1:7925 LONG MEADOW RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3023
Practice Address - Country:US
Practice Address - Phone:410-486-1855
Practice Address - Fax:410-484-5903
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10350225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ090Medicare ID - Type Unspecified