Individual
MR. BRIAN MICHAEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
745 ORIENTA AVE, SUITE 1015, ALTAMONTE SPRINGS, FL 32701-5619
(407) 332-7816
Mailing address
745 ORIENTA AVE, SUITE 1015, ALTAMONTE SPRINGS, FL 32701-5619
(407) 332-7816
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1998
MA
2255A2300X
Athletic Trainer
Primary
AL2522
FL
Other
Enumeration date
12/05/2009
Last updated
07/29/2014
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