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Individual

BRADLEY SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL 32256-2811
(904) 513-3954
Mailing address
10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL 32256-2811
(904) 513-3954

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28191
FL

Other

Enumeration date
06/02/2023
Last updated
06/02/2023
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