Individual
BRADLEY HILTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
6802 76TH STREET CT E, PUYALLUP, WA 98371-5603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60507243
WA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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