Individual
SETH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 LAWRENCE 201, IMBODEN, AR 72434-0062
(870) 810-1600
Mailing address
PO BOX 62, IMBODEN, AR 72434-0062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3921
AR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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