Individual
BRADLEY KERR BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,PT, CHT
Contact information
Practice address
500 HIOAKS RD, SUITE B, RICHMOND, VA 23225-4061
(804) 330-8165
(804) 330-5829
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 915-4602
(804) 327-8496
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
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