Individual
MRS. BRANDIE S TATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 755-0068
(941) 727-7502
Mailing address
6805 11TH AVE W, BRADENTON, FL 34209-4060
(859) 983-1514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22202
FL
225100000X
Physical Therapist
PT004137
KY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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