Organization
BRADBURY EARLY INTERVENTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI BRADBURY PT, DPT (PHYSICAL THERAPIST)
(270) 307-6399
Entity
Organization
Contact information
Practice address
1636 DEER LN APT 3, LOUISVILLE, KY 40205-1269
(270) 307-6399
Mailing address
1636 DEER LN APT 3, LOUISVILLE, KY 40205-1269
(270) 307-6399
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
006170
KY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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