Tracy Ann Bragg PTA

NPI 1275884074 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1275884074
Gender Female
Enumeration Date 09/20/2012
Last Updated 09/25/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
4645 BELPAR ST NW
CANTON OH, 44718-3602, US
Phone (330) 493-4210
Fax (330) 493-4744
Business Location
4645 BELPAR ST NW
CANTON OH, 44718-3602, US
Phone (330) 493-4210
Fax (330) 493-4744
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number PTA-08605
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According to our database, Ms. Tracy Ann Bragg PTA NPI is 1275884074, taxonomy code is 225200000X and license number is PTA-08605, license state is located at Ohio. Tracy Ann Bragg PTA physically located at 4645 Belpar St Nw, Canton OH, 44718-3602. NPI Number Tracy Ann Bragg PTA has the Individual type.

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1275884074 NPI number is provided on an as is basis without warranty of any kind. 1275884074 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Ann Bragg PTA are for informational purposes only.