Individual
BRADLEY SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10708 PRESERVE LAKE DR APT 104, TAMPA, FL 33626-4442
(808) 364-7618
Mailing address
10708 PRESERVE LAKE DR APT 104, TAMPA, FL 33626-4442
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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