BRADLEY JON LEAVELLE

DULUTH, MN
NPI1376577874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  6075)
Enumeration Date2006-07-10
Last Update Date2021-06-23
Business Address
BRADLEY JON LEAVELLE MSPT, OCS
1029 W CENTRAL ENTRANCE
DULUTH, MN 55811-5477
Phone number: 952-835-4512
Mailing Address
BRADLEY JON LEAVELLE MSPT, OCS
7825 3RD ST N STE 105
OAKDALE, MN 55128-5444
Phone number: 952-835-4512
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