Individual
MOIRA B BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
187A HIGH ST, EXETER, NH 03833-3125
(603) 772-0708
Mailing address
187A HIGH ST, EXETER, NH 03833-3125
(603) 772-0708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1209
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5909607
CIGNA ID FOR GROUP
NH
Enumeration date
10/27/2006
Last updated
07/08/2007
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