Individual
BRADLEY DUKE ISCHINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6701 BLONDELL DRIVE, WASILLA, AK 99623
(907) 357-9755
Mailing address
5400 W HOLLYWOOD RD, WASILLA, AK 99623-9424
(907) 203-1168
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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