Individual
BRADLEY GRGURICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0134367
VT
225100000X
Physical Therapist
048542
NY
225100000X
Physical Therapist
10798
SC
225100000X
Physical Therapist
11-06940
KS
225100000X
Physical Therapist
11080
CO
225100000X
Physical Therapist
13331
CT
225100000X
Physical Therapist
301264
CA
225100000X
Physical Therapist
P20917
NC
225100000X
Physical Therapist
PT-2026-0161
NM
225100000X
Physical Therapist
Primary
PT029354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11080
LICENSE
CO
Enumeration date
05/01/2012
Last updated
06/03/2026
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