Individual
TRACI M ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, PT
Contact information
Practice address
1211 E 6TH ST, 600, BONHAM, TX 75418-4095
(903) 816-2703
Mailing address
1211 E 6TH ST, 600, BONHAM, TX 75418-4095
(903) 816-2703
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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