Individual
MR. BRADLEY NEIL HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2379
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100834510B
—
OK
01
—
249517501
HUMANA GOLD CHOICE
OK
01
—
3523320
CIGNA
OK
01
—
611622500
US DEPT OF LABOR
OK
01
—
P00239087
RR MEDICARE
OK
Enumeration date
08/10/2005
Last updated
01/05/2016
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