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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE DIANE BRAGA

Active Sole Proprietor

JACQUELINE DIANE BRAGA is a Physical Therapy Assistant healthcare provider located in SAINT SIMONS ISLAND, Georgia. NPI 1396183604 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT SIMONS ISLAND, GA

Registration Details

NPI Number
1396183604
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2013 (13.146323369349 yrs)
Last Updated
Mar 5, 2015
Licenses
6547 (SC)
PT011520 (GA)
Sole Proprietor
Yes

Practice Information

Address
111 RENEGAR WAY
SAINT SIMONS ISLAND, GA, 315228840
Browse GA providers · Browse ZIP 31522
Phone
9122192029
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SAINT SIMONS ISLAND, GA

Name Credential NPI
MRS. ANGELA LYNN MASON MS,PT 1689711491
MR. HORACE STRINGFELLOW V PT 1538297288
JULIE S SULLENS DPT 1770746570
NANCY RODDY NURNBERG PT 1992072896
MEGAN ANNE TAYLOR DPT 1497123830
MS. CORRIE CORRIE MANGAN 1538532817
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.