# JOHN HOWARD BRADFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508971003
- **Gender:** Man
- **Credential:** MSPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 006963 | CT | Yes |
| 225100000X | Physical Therapist | 8020 | AZ | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 06/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004221868-02 | — | CT |