Bradley D Benard PT

NPI 1023019593 - Physical Therapist - 225100000X

NPI Details
NPI 1023019593
Gender Male
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
4920 E 2550 N
EDEN UT, 84310, US
Phone (801) 745-3200
Business Location
STE 350
BOUNTIFUL UT, 84010-7667, US
Phone (801) 295-3553
Fax (801) 295-3599
Taxonomy Code 225100000X
License State Utah
License Number 121252 2401
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According to our database, Bradley D Benard PT NPI is 1023019593, taxonomy code is 225100000X and license number is 121252 2401, license state is located at Utah. Bradley D Benard PT physically located at 4920 E 2550 N, Eden UT, 84310. NPI Number Bradley D Benard PT has the Individual type.

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1023019593 NPI number is provided on an as is basis without warranty of any kind. 1023019593 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley D Benard PT are for informational purposes only.