Individual
BRADLEY BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 TRAVELODGE DR, EL CAJON, CA 92020-4126
(335) 742-2738
Mailing address
3007 CHIPWOOD CT, SPRING VALLEY, CA 91978-1966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297786
CA
Other
Enumeration date
04/07/2020
Last updated
05/27/2025
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