Individual
KELLY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7455 SW BRIDGEPORT RD, TIGARD, OR 97224-7252
(503) 968-1704
Mailing address
3037 KENSINGTON CT, WEST LINN, OR 97068-4170
(202) 320-5025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62152
OR
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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