Individual
BRADLEY B KREISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N HIGHWAY 19A, MOUNT DORA, FL 32757-2032
(352) 800-4231
Mailing address
10007 LENOX ST, CLERMONT, FL 34711-9114
(321) 460-7205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31997
FL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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