Individual provider · Type 1 NPI
Theresa Lee Bradley, PTA
Specialist · Plano, TX
NPI number
1457643207
Active
Practice location
8309 Bartley Cir
Plano, TX 75025-4319
Fax (972) 818-3889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2051740 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1457643207
Theresa Lee Bradley, PTA's National Provider Identifier is 1457643207, issued on May 12, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plano, TX. The record was last updated on May 12, 2011.