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Individual

BRADLEY PAUL CARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1660 S MULFORD RD, ROCKFORD, IL 61108-6760
(815) 397-8700
Mailing address
1660 S MULFORD RD, ROCKFORD, IL 61108-6760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.009552
IL

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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