Individual
KASSANDRA DAWN BRADBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7208 PRIMROSE AVE, LUBBOCK, TX 79424-7723
(210) 386-1776
Mailing address
507 MLK BLVD, LUBBOCK, TX 79403-5213
(806) 392-9107
(806) 744-0611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091085
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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