Individual
ELIZABETH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 JUNGERMANN RD, SAINT PETERS, MO 63376-5350
(636) 928-5327
Mailing address
324 JUNGERMANN RD, SAINT PETERS, MO 63376-5350
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2013019947
MO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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