Individual
ELIZABETH BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 744-4196
Mailing address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1103
AL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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