Individual
WILLIAM M BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
936 RESERVOIR AVE, CRANSTON, RI 02910-4418
(401) 944-1455
Mailing address
47 WENTWORTH AVE, WARWICK, RI 02889-4723
(860) 680-0702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01845
RI
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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