Individual
TAYLOR BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12331 ACADEMY RD, PHILADELPHIA, PA 19154-1927
(215) 576-4796
Mailing address
1117 LAUREL RD, EDGEWATER PARK, NJ 08010-2608
(609) 845-4224
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT031443
PA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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