Individual
COLLEEN KELLY BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(610) 429-2059
Mailing address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(610) 429-2059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008628L
PA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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