Bradly Dale Stevens

NPI #1295496131 in Somerset, Kentucky

Provider Information

NPI Number: 1295496131
Entity Type: Individual
Name: Bradly Dale Stevens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 3, 2022
Last Updated: Jan 3, 2022

Practice Location

Address: 112 OAKDALE DR
City: Somerset
State: Kentucky
ZIP Code: 42503-9680
Phone: (606) 477-0482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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