Individual
BRADLEY THEODORE DUBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6533 CANNON FARMS DR NE, ROCKFORD, MI 49341-8284
(616) 240-4802
Mailing address
6533 CANNON FARMS DR NE, ROCKFORD, MI 49341-8284
(616) 240-4802
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003281
MI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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