Individual
MR. BRADLEY NEIL HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3004 W UNIVERSITY BLVD, STE 101, DURANT, OK 74701-2998
(580) 920-2231
(580) 920-2242
Mailing address
3004 W UNIVERSITY BLVD, STE 101, DURANT, OK 74701-2998
(580) 920-2231
(580) 920-2242
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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