Individual
BRADLEY ROSS HARVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
208 CORRIN AVENUE SOUTHWEST, ORTING, WA 98390
(360) 872-0401
(360) 872-0438
Mailing address
PO BOX 1137, ORTING, WA 98360-1137
(360) 872-0315
(360) 872-0438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8451767
—
WA
Enumeration date
05/11/2006
Last updated
10/20/2009
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