Individual ProviderStephanie BranchaudPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9645 Grove Cir N Ste 100, Maple Grove, MN 55369-2682(763) 302-4114PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Branchaud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831648922Provider TypeIndividualFull NameBranchaud, StephanieCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date9/29/2016Last Updated2/25/2022Contact InformationPractice LocationPractice Address9645 Grove Cir N Ste 100, Maple Grove, MN 55369-2682Phone(763) 302-4114FaxUnlisted FaxMailing LocationMailing Address9645 Grove Cir N Ste 100, Maple Grove, MN 55369-2682Phone(763) 302-4114FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12094Minnesota