Individual
MR. BRADLEY ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7120
Mailing address
2944 ROCHE DR N, COLORADO SPRINGS, CO 80918-1736
(719) 237-4052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0012937
CO
Other
Enumeration date
09/09/2015
Last updated
12/31/2024
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