Individual
BRADLEY BEGNOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1906 W 21ST ST N, WICHITA, KS 67203-2105
(316) 838-2599
Mailing address
112 N CHELMSFORD CT, WICHITA, KS 67230-6913
(316) 218-0285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00843
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-00843
LICENSE NUMBER
KS
Enumeration date
08/21/2006
Last updated
07/08/2007
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