Individual
MR. BRAD SAMPLES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
15 CORPORATE DRIVE, UNIT 6, WAYNE, NJ 07470
(973) 368-4907
(973) 368-4909
Mailing address
2025 HAMBURG TPKE STE E, WAYNE, NJ 07470-6250
(973) 835-2827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01180900
NJ
Other
Enumeration date
03/12/2007
Last updated
03/21/2024
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