Individual
DR. BRADFORD A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
789 STONEYBROOK TRL, FAIRBORN, OH 45324-6099
(937) 878-0262
Mailing address
40 WOODLAND CT, WAPPINGERS FALLS, NY 12590-5363
(845) 392-8762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT017282
OTPTAT
OH
Enumeration date
04/16/2018
Last updated
06/16/2018
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