KATIE LEE BRACKEN

CHARLESTON, SC
NPI1922476480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: SC  1819)
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
-- KATIE LEE BRACKEN ATC
550 HARBOR COVE LN APT. 4400L
CHARLESTON, SC 29412-3009
Phone number: 513-379-3166
Mailing Address
-- KATIE LEE BRACKEN ATC
550 HARBOR COVE LN APT. 4400L
CHARLESTON, SC 29412-3009
Phone number: 513-379-3166
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