| NPI | 1912213414 |
|---|---|
| Former Name | ANN MARIE BRADOSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033048) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2014-11-06 |