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Individual

MR. BRADLEY BRUCE ABRAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1310 PAPIN ST, SUITE 109, SAINT LOUIS, MO 63103-3132
(314) 255-9749
(314) 335-7770
Mailing address
1310 PAPIN ST, SUITE 109, SAINT LOUIS, MO 63103-3132
(314) 255-9749
(314) 335-7770

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-014647
IL
225100000X
Physical Therapist
Primary
2005012155
MO
225100000X
Physical Therapist
5668088-2401
UT
225100000X
Physical Therapist
PT 006742
OH
225100000X
Physical Therapist
PT 16203
FL

Other

Enumeration date
07/31/2006
Last updated
11/01/2014
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