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Individual
MR. WILLIAM JAMES LEE BRADLEY IV
Active
Individual
MR. WILLIAM JAMES LEE BRADLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01378300
NJ
225100000X
Physical Therapist
J1-0002654
DE
225100000X
Physical Therapist
Primary
PT 001411E
PA
Other
Enumeration date
04/24/2007
Last updated
02/09/2011
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