Individual
BRADLEY LEAFBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 RADIO DR, # 120, WOODBURY, MN 55125-8409
(651) 735-6100
(651) 735-6106
Mailing address
1000 RADIO DR, #120, WOODBURY, MN 55125-8409
(651) 735-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6430
MN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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