Individual
BRADLEY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8380 RIVERWALK PARK BLVD, SUITE 320, FORT MYERS, FL 33919-8758
(239) 437-1121
Mailing address
8380 RIVERWALK PARK BLVD, SUITE 320, FORT MYERS, FL 33919-8758
(239) 437-1121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19423
FL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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