Individual
MARISSA MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
891 N SAPPHIRE DR, JASPER, IN 47546-9479
(812) 634-1952
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06007000A
IN
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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