Individual
BRADLEY KEVIN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5565 GROSSMONT CENTER DR STE 360, LA MESA, CA 91942-3087
(619) 315-0035
(619) 315-0036
Mailing address
5565 GROSSMONT CENTER DR STE 256, LA MESA, CA 91942-3098
(619) 462-3131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301120
CA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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