Individual
MARK BRADLEY HOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7375
(218) 825-7379
Mailing address
14130 COUNTY ROAD 25, BRAINERD, MN 56401-5060
(320) 293-4029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4827
MN
Other
Enumeration date
11/02/2006
Last updated
12/18/2014
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