Individual
LUCAS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10359 FEDERAL BLVD STE 205, WESTMINSTER, CO 80260-7453
(303) 410-8178
Mailing address
10359 FEDERAL BLVD STE 205, WESTMINSTER, CO 80260-7453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015202
CO
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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