BRENT BRADLEY

SUNRIVER, OR
NPI1811970221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4661)
Enumeration Date2005-11-21
Last Update Date2007-10-18
Business Address
-- BRENT BRADLEY PT
18135 COTTONWOOD
SUNRIVER, OR 97707-9317
Phone number: 541-390-7518
Mailing Address
-- BRENT BRADLEY PT
1431 NW ITHACA AVE
BEND, OR 97701-2113
Phone number: 541-390-7518
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