Individual
BRADLEY RUNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
(320) 839-4196
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-010805
IL
225100000X
Physical Therapist
Primary
6351
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253693000
—
MN
Enumeration date
03/27/2006
Last updated
03/25/2010
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