Individual
RICHARD BRADLEY OGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2585 E WASHINGTON BLVD, PASADENA, CA 91107-1446
(626) 463-4105
Mailing address
630 N HOLLYWOOD WAY APT 208, BURBANK, CA 91505-3172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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