Individual
MRS. BETHANY RUTH BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2111 WILDWOOD AVE, JACKSON, MI 49202-4048
(517) 745-5878
Mailing address
3110 REYNOLDS RD, JACKSON, MI 49201-9331
(517) 945-1815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016026
MI
Other
Enumeration date
09/05/2012
Last updated
03/22/2016
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