Individual
MRS. HANNAH HICKS BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 853-9722
Mailing address
1536 EASTWAY DR, DALLAS, NC 28034-9415
(704) 853-9722
(704) 853-9722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2558
NC
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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