Individual
BRADLEY SCOTT WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6000 US-98, PENSACOLA, FL 32512-1098
(850) 505-6601
Mailing address
9539 LORIKEET LN, PENSACOLA, FL 32507-7229
(912) 484-0807
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
6374
SC
Other
Enumeration date
06/17/2013
Last updated
04/22/2022
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