BRADLEY M. BLEVINS

SPRINGFIELD, IL
NPI1629200548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.005226)
Enumeration Date2009-08-11
Last Update Date2009-08-11
Business Address
Mr. BRADLEY M. BLEVINS PTA
2921 GREENBRIAR DR SUITE B-2
SPRINGFIELD, IL 62704-6421
Phone number: 217-546-3301
Mailing Address
Mr. BRADLEY M. BLEVINS PTA
2921 GREENBRIAR DR SUITE B-2
SPRINGFIELD, IL 62704-6421
Phone number: 217-546-3301
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