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Organization
BODY DYNAMICS PHYSICAL THERAPY INC
Active
Organization
BODY DYNAMICS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK THOMAS BRADLEY PT,DPT,M.S., ATC (PRESIDENT DIRECTOR)
(209) 951-3265
Entity
Organization
Contact information
Practice address
2105 W MARCH LN STE 3, STOCKTON, CA 95207-6407
(209) 951-3265
(209) 951-3285
Mailing address
13976 E SPARROW HAWK DR, LOCKEFORD, CA 95237-9545
(209) 727-5594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 23700
CA
2251E1200X
Ergonomics Physical Therapist
Primary
PT 23700
CA
Other
Enumeration date
04/12/2007
Last updated
09/11/2025
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