Mrs. Jenny M Braddock, PT, OCS
Specialist in Waterbury, Connecticut
1558430785- Practice location
- 117 Sharon RD, Mall View Plaza, Waterbury, CT 06705-4000
- Phone
- 203-756-2334
- Fax
- 203-756-2594
- Last updated
- July 9, 2007
Jenny M Braddock is a Specialist based in Waterbury, CT. Jenny M Braddock practices in Waterbury, CT and has the professional credentials of PT, OCS. The NPI Number for Jenny M Braddock is 1558430785 and holds a License No. 007053 (CT). The current practice location address for Jenny M Braddock is 117 Sharon RD, Mall View Plaza, Waterbury, CT 06705-4000 and can be reached out via phone at 203-756-2334 and via fax at 203-756-2594.
Provider Profile Details
- NPI Number
- 1558430785
- Provider Name
- Jenny M Braddock
- Credential
- PT, OCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 117 Sharon RD, Mall View Plaza, Waterbury, CT 06705-4000
- Phone Number
- 203-756-2334
- Fax Number
- 203-756-2594
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 117 Sharon RD
Mall View Plaza
Waterbury, CT 06705-4000 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-4000
- Phone Number
- 203-756-2334
- Fax Number
- 203-756-2594
Provider Business Mailing Address Details
- Address
- 247 Hill RD
Harwinton, CT 06791-2502 - City
- Harwinton
- State
- CT
- Zip
- 06791-2502
- Phone Number
- 860-485-0755
License Information
- License Number
- 007053
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jenny M Braddock, PT, OCS?
The NPI number of Mrs. Jenny M Braddock, PT, OCS is 1558430785. It was assigned on November 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jenny M Braddock, PT, OCS?
Mrs. Jenny M Braddock, PT, OCS is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 007053.
Where does Mrs. Jenny M Braddock, PT, OCS practice?
The practice location is 117 Sharon RD, Mall View Plaza, Waterbury, CT 06705-4000. The office can be reached at 203-756-2334 (phone) or 203-756-2594 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558430785 directly on the NPPES registry website.