Individual
MR. BRADLEY STEVEN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6200 WILSHIRE #805, LOS ANGELES, CA 90048
(323) 938-0511
Mailing address
2892 GRANDVIEW AVE, VENICE, CA 90291-4942
(949) 697-3242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9721
CA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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