Individual
DR. BRADLEY PAUL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1430 SOM CENTER RD STE 1, MAYFIELD HEIGHTS, OH 44124-2123
(440) 442-7111
(440) 460-1767
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OH-8844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361779
—
OH
Enumeration date
04/27/2006
Last updated
05/01/2020
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