Bradley C Herrgord

NPI #1568979250 in Lincoln, California

Provider Information

NPI Number: 1568979250
Entity Type: Organization
Organization Name: Bradley C Herrgord
Primary Specialty: Physical Therapist
Enumeration Date: Jan 4, 2018
Last Updated: Jan 19, 2018

Practice Location

Address: 845 TWELVE BRIDGES DR STE 140
City: Lincoln
State: California
ZIP Code: 95648-8819
Phone: (916) 645-3890

Authorized Official

Name: DR. BRADLEY HERRGORD, DC
Title: CEO
Phone: (916) 645-3890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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