Individual
BRADLEY W MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11747-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016113
—
WI
Enumeration date
07/01/2011
Last updated
04/01/2022
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