Search › South Carolina › 235Z00000X
Tracie Brazell, MA-CCC-SLP
NPI 1497781306 · on the registry since 2006
Practice
- Address
- 43 Aviary Ln
Johnston, SC 29832 - Phone
- (803) 275-3767
- Organisation at this address
- Pediatric Therapy Achievements, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina