Individual
REBECCA LYNN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
Mailing address
5513 N HUMBOLDT AVE, PEORIA, IL 61614-4301
(309) 692-3711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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