Individual
JARED BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7080 N MAPLE AVE STE 101, FRESNO, CA 93720-8003
(559) 326-5580
Mailing address
7080 N MAPLE AVE STE 101, FRESNO, CA 93720-8003
(559) 326-5580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006210
MI
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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