Individual
BRADLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6210 S POND PT, GRAND BLANC, MI 48439-9616
(810) 922-8180
Mailing address
6210 S POND PT, GRAND BLANC, MI 48439-9616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008151
MI
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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