Individual
COLLEEN R BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
127 W STREET RD STE 101, KENNETT SQUARE, PA 19348-1698
(610) 444-1212
(610) 444-3633
Mailing address
1401 TRIMBLE RD, GARNET VALLEY, PA 19060-1815
(610) 757-7655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
01/04/2023
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