Individual
TRACY ERIN IRADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
605 BENNETT DAIRY RD, SPARTANBURG, SC 29307-4403
(704) 287-3865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143
SC
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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