Eric Bradley South

NPI #1609370592 in Grayling, Michigan

Provider Information

NPI Number: 1609370592
Entity Type: Individual
Name: Eric Bradley South
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 23, 2018
Last Updated: Mar 23, 2018

Practice Location

Address: 1100 E MICHIGAN AVE
City: Grayling
State: Michigan
ZIP Code: 49738-1312
Phone: (989) 348-5461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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