Individual
BRADLEY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1413 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061-6355
(443) 969-7119
Mailing address
713 BAYLOR RD, GLEN BURNIE, MD 21061-4653
(410) 562-1910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4750
MD
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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