Individual
MELISSA CHERIE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 ANTIOCH DR, DAVIS, CA 95616-1902
(253) 740-5469
Mailing address
316 ANTIOCH DR, DAVIS, CA 95616-1902
(253) 740-5469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8452
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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