Organization
BACK IN ACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA T. BRADLEY RPT (DIRECTOR PHYSICAL THERAPY)
(954) 567-2617
Entity
Organization
Contact information
Practice address
4022 N OCEAN BLVD, FT LAUDERDALE, FL 33308
(954) 567-2617
(954) 567-2819
Mailing address
4022 N OCEAN BLVD, FT LAUDERDALE, FL 33308
(954) 567-2617
(954) 567-2819
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PT4144
FL
Other
Enumeration date
12/20/2006
Last updated
08/30/2007
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