Individual
BRADLEY POTASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 CORPORATE DR STE 280, FORT LAUDERDALE, FL 33334-3628
(954) 636-2525
Mailing address
1000 CORPORATE DR STE 280, FORT LAUDERDALE, FL 33334-3628
(954) 636-2525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2172 54782
AETNA
MD
Enumeration date
09/09/2016
Last updated
09/14/2016
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