Individual
BRADLEY M AUSTIN
Active
Individual
BRADLEY M AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011174401
UNIVERA
NY
01
—
000626275001
BLUE CROSS
NY
01
—
825400
ACN
NY
01
—
9311341
INDEPENDENT HEALTH
NY
Enumeration date
05/31/2005
Last updated
07/08/2007
Update your record
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