Individual
TRACY BISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
134 WOODSTONE WAY, NORTH AUGUSTA, SC 29860-7456
(630) 956-4536
Mailing address
134 WOODSTONE WAY, NORTH AUGUSTA, SC 29860-7456
(630) 956-4536
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
070.015013
IL
2251P0200X
Pediatric Physical Therapist
Primary
10797
SC
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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