Individual
MRS. TRACY LYNN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
146 WATER ST., SALEM CARE AND REHABILITATION, SALEM, WV 26426
(304) 782-3000
Mailing address
1533 HOFFMAN AVE, CLARKSBURG, WV 26301
(215) 675-5027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001364
WV
225200000X
Physical Therapy Assistant
A4675
NC
225200000X
Physical Therapy Assistant
TEE007620
PA
Other
Enumeration date
03/21/2007
Last updated
11/28/2012
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