TIMOTHY BRADFORD

SAINT LOUIS, MO
NPI1851059190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160007758)
Enumeration Date2021-12-03
Last Update Date2021-12-03
Business Address
TIMOTHY BRADFORD
5433 VALLEYSIDE LN
SAINT LOUIS, MO 63128-3747
Phone number: 314-744-0373
Mailing Address
TIMOTHY BRADFORD
5433 VALLEYSIDE LN
SAINT LOUIS, MO 63128-3747
Phone number: 314-744-0373
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