| NPI | 1538268933 |
|---|---|
| Other Name | TRACY R BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 115572) |
| 225100000X Physical Therapist (Licence: TX 1144616) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-10-18 |