Individual
MRS. JENNIFER MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
5907 WECKERLY RD, WHITEHOUSE, OH 43571-9648
(419) 877-5144
(419) 877-4780
Mailing address
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-5196
(419) 866-5663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 070948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392980
—
OH
01
—
1609899061
COMPANY NPI
OH
01
—
PT 010947
PHYSICAL THERAPY LICENSE
OH
Enumeration date
09/26/2006
Last updated
06/08/2021
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