Individual
BRADLEY OLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 PLYMOUTH RD, ANN ARBOR, MI 48105-2468
(810) 231-6904
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016438
MI
Other
Enumeration date
10/03/2013
Last updated
03/28/2014
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