Braga, Jacqueline Diane

Braga, Jacqueline Diane is an sole proprietor health care provider with primary practice located at 111 Renegar Way , Saint Simons Island GA 31522-8840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Braga, Jacqueline Diane can be contacted via phone (912) 219-2029.

Contact Information

Primary practice address
111 Renegar Way Saint Simons Island GA 31522-8840
Phone: (912) 219-2029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6547 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT011520 Georgia

Profile Details

NPI number 1396183604
LBN Legal business name Braga, Jacqueline Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2013
Last updated Mar 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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