Individual
ERIC BRADLEY SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504-7335
(616) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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