Individual
BRADLEY MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
235 SPANISH OAK TRL, SPICEWOOD, TX 78669-4010
(512) 924-1977
Mailing address
235 SPANISH OAK TRL, SPICEWOOD, TX 78669-4010
(512) 924-1977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022689
TX
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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