Individual
MISS BRIANNA MARIE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
601 E BELT LINE RD, DESOTO, TX 75115-5103
(972) 223-0690
(972) 223-0690
Mailing address
2403 N WASHINGTON AVE APT 221, DALLAS, TX 75204-3767
(678) 467-4257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6810
TX
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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