Individual
DANIEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3220 17TH ST NW STE 10, WASHINGTON, DC 20010-2135
(202) 436-1279
Mailing address
213 INGRAHAM ST NW, WASHINGTON, DC 20011-6625
(202) 714-3586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0542
DC
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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