Individual
BRADLEY LAWRENCE CONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
11700 COMMONWEALTH DR STE 601, LOUISVILLE, KY 40299-6303
(502) 509-3136
(502) 509-3136
Mailing address
716 MALONE PL, LOUISVILLE, KY 40245-4132
(502) 509-3136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004698
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004698
KY STATE LICENSE
KY
Enumeration date
06/14/2006
Last updated
01/08/2025
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