Organization
BRADLEY C HIRL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C HIRL PT (OWNER)
(563) 243-4301
Entity
Organization
Contact information
Practice address
404 S 1ST ST, CLINTON, IA 52732-4122
(563) 243-4301
(563) 243-4302
Mailing address
PO BOX 361, CLINTON, IA 52733-0361
(563) 242-5316
(563) 242-3128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01856
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39017
BC/BS
IA
01
—
DE2995
RAILROAD MEDICARE
IA
Enumeration date
12/21/2007
Last updated
11/09/2012
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