Individual
BRADLEY VERNON PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2395 TROOP DRIVE, SUITE 102, SARTELL, MN 56377
(320) 252-0233
(320) 252-1421
Mailing address
1528 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 252-0233
(320) 252-1421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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