Individual
TRACIE BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 SLABTOWN RD, LIMA, OH 45801-3309
(419) 222-1836
Mailing address
1920 SLABTOWN RD, LIMA, OH 45801-3309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02157
OH
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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