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Organization

BRADFORD PHYSICAL THERAPY PC

Active
Other names
Ascent Therapy Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BRADFORD P.T. (PRESIDENT)
(303) 978-9200
Entity
Organization

Contact information

Practice address
9116 W BOWLES AVE STE 10, LITTLETON, CO 80123-3477
(303) 978-9200
(303) 973-4886
Mailing address
9116 W BOWLES AVE STE 10, LITTLETON, CO 80123-3477
(303) 978-9200
(303) 973-4886

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C25683
MEDICARE PART B
CO
Enumeration date
01/15/2008
Last updated
04/19/2011
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