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1184766362
BRADLEY MANN WAGNER
LOUISVILLE, KY
NPI
1184766362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY PT-005075)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- BRADLEY MANN WAGNER PT, DPT
616 EXECUTIVE PARK
LOUISVILLE, KY 40207-4206
Phone number: 502-896-9355
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Mailing Address
-- BRADLEY MANN WAGNER PT, DPT
8605 COOL BROOK CT
LOUISVILLE, KY 40291-1501
Phone number: 502-836-9240
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