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Individual

BRADLEY MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9856 W FREIBURG DR UNIT G, LITTLETON, CO 80127-5949
(303) 619-7274
Mailing address
9856 W FREIBURG DR UNIT G, LITTLETON, CO 80127-5949
(303) 619-7274

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4779
LICENSE #
CO
Enumeration date
08/29/2006
Last updated
11/28/2022
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