Individual
RILEY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
300 W MAY ST, MARENGO, IA 52301-1261
(319) 642-5543
Mailing address
300 W MAY ST, MARENGO, IA 52301-1261
(618) 367-3351
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
098590
IA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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