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1497123277
BRADLEY ISOM
FORT CARSON, CO
NPI
1497123277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA0012937)
Enumeration Date
2015-09-09
Last Update Date
2024-12-31
Business Address
Mr. BRADLEY ISOM
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number: 719-526-7120
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Mailing Address
Mr. BRADLEY ISOM
2944 ROCHE DR N
COLORADO SPRINGS, CO 80918-1736
Phone number: 719-237-4052
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