Individual
MRS. GINA MARIE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
195 FEDERAL RD STE 6, BROOKFIELD, CT 06804-2556
(203) 546-8648
Mailing address
38 HORSESHOE RIDGE RD, SANDY HOOK, CT 06482-1039
(203) 270-0753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006194
CT
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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