Bradley Jack Burton, P.T.

NPI #1750553616 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1750553616
Entity Type: Individual
Name: Bradley Jack Burton, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 1700 W STOUT ST
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-5000
Phone: (715) 236-6408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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