Individual
BRADLEY D EGGEBRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 PATEWOOD DR, STE C150, GREENVILLE, SC 29615-3593
(864) 454-0904
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5436
SC
2251X0800X
Orthopedic Physical Therapist
PT5605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1774
—
SC
Enumeration date
04/18/2006
Last updated
01/06/2025
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