Individual
COLLIN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24560 SOUTHPOINT DR, ALDIE, VA 20105-3510
(571) 370-3686
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(703) 729-7920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
VA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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