Individual
DR. BRADLEY JOSEPH LINEBERRY
Active
Individual
DR. BRADLEY JOSEPH LINEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001834986
MT. ST. BC/BS
WV
05
—
3810005039
—
WV
01
—
425678
CARELINK
WV
Enumeration date
10/11/2006
Last updated
01/14/2022
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