Bradley Grgurich DPT

NPI 1235497918 - Physical Therapist - 225100000X

NPI Details
NPI 1235497918
Gender Male
Enumeration Date 05/01/2012
Last Updated 08/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2144 MAIN ST
SUITE 3
LONGMONT CO, 80501-8402, US
Phone (303) 678-7170
Fax (303) 678-7134
Business Location
2144 N MAIN STREET
SUITE 3
LONGMONT CO, 80503, US
Phone (303) 678-7170
Fax (303) 678-7134
Toxanomy
Taxonomy Code 225100000X
License State Colorado
License Number 11080
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According to our database, Bradley Grgurich DPT NPI is 1235497918, taxonomy code is 225100000X and license number is 11080, license state is located at Colorado. Bradley Grgurich DPT physically located at 2144 Main St, Longmont CO, 80501-8402. NPI Number Bradley Grgurich DPT has the Individual type.

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1235497918 NPI number is provided on an as is basis without warranty of any kind. 1235497918 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Grgurich DPT are for informational purposes only.