Individual
SAMANTHA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
(602) 839-6533
Mailing address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12208A
AZ
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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