Individual
BRADFORD A TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2900 FOXFIELD RD, SUITE 205, ST CHARLES, IL 60174-5799
(630) 797-4343
(630) 797-4349
Mailing address
2900 FOXFIELD RD, SUITE 205, ST CHARLES, IL 60174-5799
(630) 797-4343
(630) 797-4349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013634
IL
Other
Enumeration date
07/22/2007
Last updated
08/03/2009
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