NPI 1508041286
Demetrius Braxton
Practice location
- Address
- 9703 Starboard CT, Cheltenham, MD 20623-1357
- Phone
- (202) 431-3880
- Fax
- (301) 782-9769
- Mailing address
- PO Box 582, Cheltenham, MD 20623-0582
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1508041286
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Dec 2007
- Record last updated
- 31 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.