BRADLEY ILLESCAS

SILVER SPRING, MD
NPI1093355497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2020-01-14
Last Update Date2020-01-14
Business Address
MR. BRADLEY ILLESCAS
12905 LAYHILL RD
SILVER SPRING, MD 20906-3329
Phone number: 240-855-4481
Mailing Address
MR. BRADLEY ILLESCAS
12905 LAYHILL RD
SILVER SPRING, MD 20906-3329
Phone number: 240-855-4481
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