Provider Demographics
NPI:1992730535
Name:BRAUNSTEIN, JANICE W (PT)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:W
Last Name:BRAUNSTEIN
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1266 W PACES FERRY RD NW
Mailing Address - Street 2:# 676
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2306
Mailing Address - Country:US
Mailing Address - Phone:404-607-1741
Mailing Address - Fax:770-937-9131
Practice Address - Street 1:600 W PEACHTREE ST NW STE 180
Practice Address - Street 2:ATLANTA
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-3616
Practice Address - Country:US
Practice Address - Phone:404-607-1741
Practice Address - Fax:404-607-0906
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA000912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBCNDMedicare PIN