Individual
MRS. JODI BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8205 FISHHAWK AVE, NEW PORT RICHEY, FL 34653-6439
(912) 439-9567
Mailing address
8205 FISHHAWK AVE, NEW PORT RICHEY, FL 34653-6439
(912) 439-0879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30421
FL
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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