Individual
MR. BRADLEY SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
904 POPLAR DR, BRANDON, MS 39042-2906
(601) 278-9985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP003218A
CO
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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