Individual
JACLYN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417
(616) 935-3300
(616) 935-3333
Mailing address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
(231) 830-9196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015614
MI
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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