Individual
BRADLEY MARK PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2801 W BANCROFT ST, MAIL STOP 302, TOLEDO, OH 43606-3328
(419) 530-7915
(416) 530-2570
Mailing address
2801 W BANCROFT ST, MAIL STOP 302, TOLEDO, OH 43606-3328
(419) 530-7915
(416) 530-2570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004194
OH
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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