Individual
STEFANIE L BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8235 E 116TH ST STE 220, FISHERS, IN 46038-1554
(317) 813-2100
(317) 813-2101
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014176A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
08/12/2019
Last updated
06/10/2021
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