Individual
MARIAN CLAIR BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
706-D LA JOYA, ESPANOLA, NM 87532-2877
(505) 753-6550
(505) 753-1219
Mailing address
7219 VIA VERDE, SANTA FE, NM 87507-2790
(505) 424-9713
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3151
NM
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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