Doctor Name: | DAVID BRAZEAU |
NPI Number: | 1639138233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3043 |
Business Practice Address: | 559 Vincent St Attn: 21 Mdos/sgoy Peterson Afb, CO - 809141541 |
Business Phone Number: | 7195560883 |
Business Fax Number: | |
Mailing Address: | 559 Vincent St, Attn: 21 Mdos/sgoy PETERSON AFB |
State: | CO |
Postal Code: | 809141541 |
Phone Number: | 7195560883 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |