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Individual

BRADLEY JAMES POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1628 W 11010 S STE 101, SOUTH JORDAN, UT 84095-1278
(801) 419-1196
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11293819-2401
UT

Other

Enumeration date
02/12/2021
Last updated
02/22/2023
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