Individual
LAWRENCE M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W MAIN ST, STE B, CANFIELD, OH 44406-1454
(330) 702-0110
Mailing address
510 W MAIN ST, STE B, CANFIELD, OH 44406-1454
(330) 702-0110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009257
OH
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/29/2007
Last updated
01/22/2008
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