Individual
BRADLEY WILLIAM PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
29822 S WIXOM RD, WIXOM, MI 48393-3434
(248) 926-5826
(248) 926-5830
Mailing address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(248) 926-5826
(248) 926-5830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019868
MI
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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