Individual
MR. BRADLEY JOHN LUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PHYSICAL THERAPIS
Contact information
Practice address
1200 W STATE ST, LOS ANGELES, CA 90033
(323) 226-5096
Mailing address
1200 W STATE ST, LOS ANGELES, CA 90033
(323) 226-5096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17386
CA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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