Individual
TRACY L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
329 MULLET RUN, MILFORD, DE 19963-5373
(302) 424-1810
(302) 424-3092
Mailing address
329 MULLET RUN STREET, MILFORD, DE 19963
(302) 424-1810
(302) 424-3092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
JT-0000648
DE
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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