Kristin Nicole Bradley P.T.A.

NPI 1114132974 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1114132974
Gender Female
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6400 N SANTA FE AVE
STE. B
OKLAHOMA CITY OK, 73116-9126, US
Phone (405) 840-2903
Fax (405) 840-3256
Business Location
912 ASHWOOD LN
MOORE OK, 73160-8716, US
Phone (405) 759-7529
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 1422
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According to our database, Mrs. Kristin Nicole Bradley P.T.A. NPI is 1114132974, taxonomy code is 225200000X and license number is 1422, license state is located at Oklahoma. Kristin Nicole Bradley P.T.A. physically located at 6400 N Santa Fe Ave, Oklahoma City OK, 73116-9126. NPI Number Kristin Nicole Bradley P.T.A. has the Individual type.

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1114132974 NPI number is provided on an as is basis without warranty of any kind. 1114132974 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin Nicole Bradley P.T.A. are for informational purposes only.