Individual
THERESA LEE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8309 BARTLEY CIR, PLANO, TX 75025-4319
(469) 879-7531
(972) 818-3889
Mailing address
8309 BARTLEY CIR, PLANO, TX 75025-4319
(469) 879-7531
(972) 818-3889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2051740
TX
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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