NICHOLAS TUCKER BRADSHAW

SYOSSET, NY
NPI1750950754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  047355)
Additional Taxonomies225100000X Physical Therapist
(Licence: NH  4813)
Enumeration Date2021-06-23
Last Update Date2021-07-06
Business Address
NICHOLAS TUCKER BRADSHAW PT, DPT
350 ROBBINS LN
SYOSSET, NY 11791-6009
Phone number: 516-513-1510
Mailing Address
NICHOLAS TUCKER BRADSHAW PT, DPT
33 CAMEO LN
WESTBURY, NY 11590-5719
Phone number: 516-404-9522