Individual
BRADLEY MATHEW STEVENS
Active
Individual
BRADLEY MATHEW STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029490
NY
225100000X
Physical Therapist
Primary
11060
CO
225100000X
Physical Therapist
8256
AZ
225100000X
Physical Therapist
PT019714
PA
225100000X
Physical Therapist
PT36044
CA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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