Individual
RITA L BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4892
Mailing address
83 RIVER RD, HOLLIS CENTER, ME 04042-4118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT472
ME
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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