Individual
BRADLEY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 3RD AVE, TIFFIN, OH 44883-1218
(419) 603-5196
Mailing address
243 3RD AVE, TIFFIN, OH 44883-1218
(419) 603-5196
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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