Provider Demographics
NPI:1720149024
Name:BRAGA, CHRISTINE MICHELLE (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MICHELLE
Last Name:BRAGA
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PARKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-2143
Mailing Address - Country:US
Mailing Address - Phone:774-218-8169
Mailing Address - Fax:
Practice Address - Street 1:50 OLIVER ST
Practice Address - Street 2:SUITE W-2B
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1446
Practice Address - Country:US
Practice Address - Phone:508-682-0186
Practice Address - Fax:508-682-0192
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13127225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist