Individual
BRADLEY KERR BRYAN
Active
Individual
BRADLEY KERR BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,PT, CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001814
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010067286
—
VA
01
—
194769
ANTHEM CHIPPENHAM OT
VA
01
—
258462
SOUTHERN HEALTH
VA
01
—
98999
OPTIMA HEALTH
VA
Enumeration date
06/19/2006
Last updated
05/18/2020
Update your record
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