Individual
MR. BRADFORD KENNETH LEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
1777 ASHLEY CIR, BOWLING GREEN, KY 42104-3339
(270) 793-0395
(270) 793-0765
Mailing address
210 VETERANS AVE, BOWLING GREEN, KY 42104-0342
(270) 779-3095
(270) 793-0765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-003526
KY
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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