Individual
GRACIELA BRADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27043 BAKER POTTS RD, HARLINGEN, TX 78552-3761
(956) 792-4542
Mailing address
27043 BAKER POTTS RD, HARLINGEN, TX 78552-3761
(956) 792-4542
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218312101
—
TX
05
—
218312102
—
TX
Enumeration date
12/06/2011
Last updated
07/16/2013
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