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Individual
REBECCA MICHELLE BRADLEY
Active
Individual
REBECCA MICHELLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1144186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144186
LICENSE
TX
Enumeration date
01/07/2008
Last updated
11/15/2011
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