Individual
MR. MARTYN H BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
L R HILL SPORTS COMPLEX, NORFOLK, VA 23529-0001
(757) 683-3840
Mailing address
5303 ROLFE AVE, NORFOLK, VA 23508-1356
(757) 777-7524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000010
VA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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