Individual
BRADLEY TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1306 E ROCKHILL ST, SPRINGFIELD, MO 65804-7118
(417) 877-7578
Mailing address
1306 E ROCKHILL ST, SPRINGFIELD, MO 65804-7118
(417) 877-7578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
118267
MO
225700000X
Massage Therapist
2006032884
MO
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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