Individual
DAREON BRADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 WATER ST, ST AUGUSTINE, FL 32084-2887
(727) 364-4024
Mailing address
56 WATER ST, ST AUGUSTINE, FL 32084-2887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37659
FL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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