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Individual
KATHERINE J BRADLEY
Active
Individual
KATHERINE J BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002342
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028487
BLUE CROSS BLUE SHIELD
VT
05
—
1006991
—
VT
01
—
43V013
MVP HEALTH CARE
—
01
—
650012855
RAILROAD MC
—
Enumeration date
08/30/2006
Last updated
07/01/2013
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